The holder whose full name is Puthoff, Beverly S.,come from Clinton IN,hold the Radiology Student Permit - Radiography license(NO.XS000378) which status is Superceded.
| Name | Puthoff, Beverly S. |
|---|---|
| License Number | XS000378 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Clinton |
| State | IN |