The holder whose full name is DeLaPorte, Autumn R.,come from Marion IN,hold the Radiology Student Permit - Radiography license(NO.XS005030) which status is Superceded.
| Name | DeLaPorte, Autumn R. |
|---|---|
| License Number | XS005030 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Marion |
| State | IN |