The holder whose full name is Shepherd, Jessica M.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005721) which status is Superceded.
| Name | Shepherd, Jessica M. |
|---|---|
| License Number | XS005721 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |