The holder whose full name is Jackson, Tara R.,come from Merrillville IN,hold the Podiatric Radiographer license(NO.XT021187) which status is Active.
| Name | Jackson, Tara R. |
|---|---|
| License Number | XT021187 |
| License Type | Podiatric Radiographer |
| License Status | Active |
| City | Merrillville |
| State | IN |