The holder whose full name is Custer, Diana L.,come from South Bend IN,hold the Radiation Therapist license(NO.XRT00012) which status is Expired.
| Name | Custer, Diana L. |
|---|---|
| License Number | XRT00012 |
| License Type | Radiation Therapist |
| License Status | Expired |
| City | South Bend |
| State | IN |