The holder whose full name is Willis, Carisa M.,come from Portage IN,hold the Radiologic Technologist license(NO.XT011039) which status is Active.
| Name | Willis, Carisa M. |
|---|---|
| License Number | XT011039 |
| License Type | Radiologic Technologist |
| License Status | Active |
| City | Portage |
| State | IN |