The holder whose full name is Faitak, Donna S.,come from Portage IN,hold the Radiologic Technologist license(NO.XT000806) which status is Active.
| Name | Faitak, Donna S. |
|---|---|
| License Number | XT000806 |
| License Type | Radiologic Technologist |
| License Status | Active |
| City | Portage |
| State | IN |