The holder whose full name is Bates, Amy E.,come from Westville IL,hold the Radiology Student Permit - Radiography license(NO.XS001867) which status is Superceded.
Name | Bates, Amy E. |
---|---|
License Number | XS001867 |
License Type | Radiology Student Permit - Radiography |
License Status | Superceded |
City | Westville |
State | IL |