The holder whose full name is Burns III, Anthony J.,come from North Vernon IN,hold the Radiology Student Permit - Radiography license(NO.XS002137) which status is Superceded.
| Name | Burns III, Anthony J. |
|---|---|
| License Number | XS002137 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | North Vernon |
| State | IN |