The holder whose full name is Lara, Juan,come from LaPorte IN,hold the Radiologic Technologist license(NO.XT013164) which status is Expired.
| Name | Lara, Juan |
|---|---|
| License Number | XT013164 |
| License Type | Radiologic Technologist |
| License Status | Expired |
| City | LaPorte |
| State | IN |