The holder whose full name is Jacks, Rebecca L.,come from Logansport IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002830) which status is Expired Non-Renewable.
| Name | Jacks, Rebecca L. |
|---|---|
| License Number | XS002830 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Logansport |
| State | IN |