The holder whose full name is Black, Jennifer L.,come from Seymour IN,hold the Radiology Student Permit - Radiography license(NO.XS006471) which status is Active.
| Name | Black, Jennifer L. |
|---|---|
| License Number | XS006471 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Active |
| City | Seymour |
| State | IN |