The holder whose full name is Moore, Carly R.,come from Kokomo IN,hold the Radiology Student Permit - Radiography license(NO.XS005683) which status is Superceded.
| Name | Moore, Carly R. |
|---|---|
| License Number | XS005683 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Kokomo |
| State | IN |