The holder whose full name is Talley, Jacqueline M.,come from Hammond IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002873) which status is Expired Non-Renewable.
| Name | Talley, Jacqueline M. |
|---|---|
| License Number | XS002873 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Hammond |
| State | IN |