The holder whose full name is Fundak, Lisa A.,come from West Lafayette IN,hold the Limited General Radiographer license(NO.XT012436) which status is Expired.
| Name | Fundak, Lisa A. |
|---|---|
| License Number | XT012436 |
| License Type | Limited General Radiographer |
| License Status | Expired |
| City | West Lafayette |
| State | IN |