The holder whose full name is Terry, Jackie L.,come from Knightstown IN,hold the Radiology Student Permit - Radiography license(NO.XS001746) which status is Superceded.
| Name | Terry, Jackie L. |
|---|---|
| License Number | XS001746 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Knightstown |
| State | IN |