The holder whose full name is Laue, Tara E.,come from Vincennes IN,hold the Radiology Student Permit - Radiography license(NO.XS000149) which status is Superceded.
| Name | Laue, Tara E. |
|---|---|
| License Number | XS000149 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Vincennes |
| State | IN |