The holder whose full name is Short, Jr., Mark R.,come from Hammond IN,hold the Radiology Student Permit - Radiation Therapy license(NO.XS006480) which status is Active.
| Name | Short, Jr., Mark R. |
|---|---|
| License Number | XS006480 |
| License Type | Radiology Student Permit - Radiation Therapy |
| License Status | Active |
| City | Hammond |
| State | IN |