The holder whose full name is Payne, Brian J.,come from Louisville KY,hold the Radiology Student Permit - Radiography license(NO.XS004990) which status is Superceded.
| Name | Payne, Brian J. |
|---|---|
| License Number | XS004990 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Louisville |
| State | KY |