The holder whose full name is Martinez, Jessica R.,come from Gary IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003881) which status is Superceded.
| Name | Martinez, Jessica R. |
|---|---|
| License Number | XS003881 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Gary |
| State | IN |