The holder whose full name is Frasur, Jamie L.,come from Connersville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003561) which status is Superceded.
| Name | Frasur, Jamie L. |
|---|---|
| License Number | XS003561 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Connersville |
| State | IN |