The holder whose full name is Maldonado, Jessie L.,come from Elkhart IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001352) which status is Superceded.
| Name | Maldonado, Jessie L. |
|---|---|
| License Number | XS001352 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Elkhart |
| State | IN |