The holder whose full name is Longshore, Amy M.,come from Beech Grove IN,hold the Radiologic Technologist license(NO.XT006997) which status is Expired.
| Name | Longshore, Amy M. |
|---|---|
| License Number | XT006997 |
| License Type | Radiologic Technologist |
| License Status | Expired |
| City | Beech Grove |
| State | IN |