The holder whose full name is Jessup, Autumn M.,come from Lake Station IN,hold the Radiology Student Permit - Radiography license(NO.XS002931) which status is Superceded.
| Name | Jessup, Autumn M. |
|---|---|
| License Number | XS002931 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Lake Station |
| State | IN |