The holder whose full name is Jacobs, Jacqueline D.,come from Morristown IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004489) which status is Expired Non-Renewable.
| Name | Jacobs, Jacqueline D. |
|---|---|
| License Number | XS004489 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Morristown |
| State | IN |