The holder whose full name is Kenning, Jill L.,come from Demotte IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS004831) which status is Superceded.
| Name | Kenning, Jill L. |
|---|---|
| License Number | XS004831 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Demotte |
| State | IN |