The holder whose full name is Horton, Jessica Ann,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002846) which status is Superceded.
| Name | Horton, Jessica Ann |
|---|---|
| License Number | XS002846 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |