The holder whose full name is Ellis, Jenna M.,come from Bloomington IN,hold the Radiology Student Permit - Radiation Therapy license(NO.XS000058) which status is Superceded.
| Name | Ellis, Jenna M. |
|---|---|
| License Number | XS000058 |
| License Type | Radiology Student Permit - Radiation Therapy |
| License Status | Superceded |
| City | Bloomington |
| State | IN |