The holder whose full name is Runyan, Jamie L.,come from Cicero IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005009) which status is Superceded.
| Name | Runyan, Jamie L. |
|---|---|
| License Number | XS005009 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Cicero |
| State | IN |