The holder whose full name is Standerski, Timothy P.,come from Portage IN,hold the Radiology Student Permit - Radiography license(NO.XS003769) which status is Superceded.
| Name | Standerski, Timothy P. |
|---|---|
| License Number | XS003769 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Portage |
| State | IN |