The holder whose full name is Long, Tia G.,come from Washington IN,hold the Radiology Student Permit - Radiography license(NO.XS006382) which status is Active.
| Name | Long, Tia G. |
|---|---|
| License Number | XS006382 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Active |
| City | Washington |
| State | IN |