The holder whose full name is Jackowiak, Amy M.,come from Goshen IN,hold the Radiology Student Permit - Radiography license(NO.XS003139) which status is Superceded.
| Name | Jackowiak, Amy M. |
|---|---|
| License Number | XS003139 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Goshen |
| State | IN |