The holder whose full name is Lance, Brian R.,come from West Salem IL,hold the Radiology Student Permit - Radiography license(NO.XS003784) which status is Expired Non-Renewable.
| Name | Lance, Brian R. |
|---|---|
| License Number | XS003784 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Expired Non-Renewable |
| City | West Salem |
| State | IL |