The holder whose full name is Woodard, Benjamin A.,come from Lafayette IN,hold the Radiology Student Permit - Radiography license(NO.XS000078) which status is Superceded.
| Name | Woodard, Benjamin A. |
|---|---|
| License Number | XS000078 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |