The holder whose full name is Jackson, Amber N.,come from Shirley IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002806) which status is Superceded.
| Name | Jackson, Amber N. |
|---|---|
| License Number | XS002806 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Shirley |
| State | IN |