The holder whose full name is DeForest, William W.,come from Cary NC,hold the Physicist - Diaganostic Imaging license(NO.XP004622) which status is Active.
| Name | DeForest, William W. |
|---|---|
| License Number | XP004622 |
| License Type | Physicist - Diaganostic Imaging |
| License Status | Active |
| City | Cary |
| State | NC |