The holder whose full name is Clark, Jaime L.,come from Indianapolis IN,hold the Radiology Student Permit - Radiography license(NO.XS004957) which status is Superceded.
| Name | Clark, Jaime L. |
|---|---|
| License Number | XS004957 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |