The holder whose full name is Tichenor, Jamie L.,come from Greensburg IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006193) which status is Superceded.
| Name | Tichenor, Jamie L. |
|---|---|
| License Number | XS006193 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Superceded |
| City | Greensburg |
| State | IN |