The holder whose full name is Penn, Ethan K.,come from Washington IN,hold the Radiology Student Permit - Nuclear Medicine license(NO.XS002067) which status is Superceded.
| Name | Penn, Ethan K. |
|---|---|
| License Number | XS002067 |
| License Type | Radiology Student Permit - Nuclear Medicine |
| License Status | Superceded |
| City | Washington |
| State | IN |