The holder whose full name is Clark, Andrew R.,come from Greenwood IN,hold the Radiology Student Permit - Radiography license(NO.XS001805) which status is Superceded.
| Name | Clark, Andrew R. |
|---|---|
| License Number | XS001805 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |