The holder whose full name is Kidd, Jessica B.,come from Churubusco IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001195) which status is Superceded.
| Name | Kidd, Jessica B. |
|---|---|
| License Number | XS001195 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Churubusco |
| State | IN |