The holder whose full name is Grice, Jacqueline R.,come from Newburgh IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002027) which status is Superceded.
Name | Grice, Jacqueline R. |
---|---|
License Number | XS002027 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Superceded |
City | Newburgh |
State | IN |