The holder whose full name is Firkus, Jean M.,come from Peru IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004539) which status is Superceded.
| Name | Firkus, Jean M. |
|---|---|
| License Number | XS004539 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Peru |
| State | IN |