The holder whose full name is Baumgartner, Jessica E.,come from Avon IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004588) which status is Superceded.
| Name | Baumgartner, Jessica E. |
|---|---|
| License Number | XS004588 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Avon |
| State | IN |