The holder whose full name is Hermann, Benjamin J.,come from Beech Grove IN,hold the Radiology Student Permit - Radiography license(NO.XS005792) which status is Superceded.
| Name | Hermann, Benjamin J. |
|---|---|
| License Number | XS005792 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Beech Grove |
| State | IN |