The holder whose full name is Shore, Jenny L.,come from Westfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS000707) which status is Superceded.
| Name | Shore, Jenny L. |
|---|---|
| License Number | XS000707 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Westfield |
| State | IN |