License Information

The holder whose full name is Jackson, Andrea J.,come from Carmel IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004280) which status is Superceded.

NameJackson, Andrea J.
License NumberXS004280
License TypeRadiology Student Permit - Dental Radiography
License StatusSuperceded
CityCarmel
StateIN

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