The holder whose full name is Jackson, Autumn C.,come from Columbus IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002632) which status is Expired Non-Renewable.
| Name | Jackson, Autumn C. |
|---|---|
| License Number | XS002632 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Columbus |
| State | IN |