The holder whose full name is Grubbs, Jillian D.,come from Danville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002061) which status is Superceded.
| Name | Grubbs, Jillian D. |
|---|---|
| License Number | XS002061 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Danville |
| State | IN |