The holder whose full name is Barczuk, Jill M.,come from Greenwood IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001395) which status is Superceded.
| Name | Barczuk, Jill M. |
|---|---|
| License Number | XS001395 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |