The holder whose full name is Davenport, Robert,come from Indianapolis IN,hold the Radiology Student Permit - Radiation Therapy license(NO.XS003126) which status is Superceded.
| Name | Davenport, Robert |
|---|---|
| License Number | XS003126 |
| License Type | Radiology Student Permit - Radiation Therapy |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |