The holder whose full name is Wiedeman, Jamie M.,come from Winona Lake IN,hold the Dental Radiographer license(NO.XT013311) which status is Expired.
| Name | Wiedeman, Jamie M. |
|---|---|
| License Number | XT013311 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Winona Lake |
| State | IN |