The holder whose full name is Jackson, Halie A.,come from Noblesville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003605) which status is Superceded.
| Name | Jackson, Halie A. |
|---|---|
| License Number | XS003605 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Noblesville |
| State | IN |