The holder whose full name is Lee, Jody R.,come from Marion IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005559) which status is Superceded.
| Name | Lee, Jody R. |
|---|---|
| License Number | XS005559 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Marion |
| State | IN |