The holder whose full name is Black, Jayma B.,come from Henderson KY,hold the Radiologic Technologist license(NO.XT007451) which status is Revoked.
| Name | Black, Jayma B. |
|---|---|
| License Number | XT007451 |
| License Type | Radiologic Technologist |
| License Status | Revoked |
| City | Henderson |
| State | KY |