The holder whose full name is Forsythe, Heather A.,come from Lafayette IN,hold the Radiology Student Permit - Nuclear Medicine license(NO.XS000097) which status is Superceded.
| Name | Forsythe, Heather A. |
|---|---|
| License Number | XS000097 |
| License Type | Radiology Student Permit - Nuclear Medicine |
| License Status | Superceded |
| City | Lafayette |
| State | IN |