The holder whose full name is Smith, Jamie L.,come from Greenfield IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006371) which status is Superceded.
| Name | Smith, Jamie L. |
|---|---|
| License Number | XS006371 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Greenfield |
| State | IN |