The holder whose full name is Lucas, Jessica L.,come from Fort Wayne IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003351) which status is Expired Non-Renewable.
| Name | Lucas, Jessica L. |
|---|---|
| License Number | XS003351 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Fort Wayne |
| State | IN |