The holder whose full name is Phillips, Jamie L.,come from Daleville IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002809) which status is Superceded.
| Name | Phillips, Jamie L. |
|---|---|
| License Number | XS002809 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Daleville |
| State | IN |