The holder whose full name is Lewis, Jackie M.,come from Auburn IN,hold the Radiology Student Permit - Radiography license(NO.XS007598) which status is Active.
| Name | Lewis, Jackie M. |
|---|---|
| License Number | XS007598 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Active |
| City | Auburn |
| State | IN |