The holder whose full name is Duselis, Thomas,come from Fort Wayne IN,hold the Physicist - Diaganostic Imaging license(NO.XP004624) which status is Active.
| Name | Duselis, Thomas |
|---|---|
| License Number | XP004624 |
| License Type | Physicist - Diaganostic Imaging |
| License Status | Active |
| City | Fort Wayne |
| State | IN |