The holder whose full name is Garrison, Janice Jiao,come from South Bend IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002269) which status is Superceded.
| Name | Garrison, Janice Jiao |
|---|---|
| License Number | XS002269 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | South Bend |
| State | IN |