The holder whose full name is Roth, Jenna L.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003453) which status is Superceded.
| Name | Roth, Jenna L. |
|---|---|
| License Number | XS003453 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |