The holder whose full name is Hicks, Jessica M.,come from Camby IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002511) which status is Superceded.
| Name | Hicks, Jessica M. |
|---|---|
| License Number | XS002511 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Camby |
| State | IN |