The holder whose full name is Fata, Angela N.,come from Dyer IN,hold the Radiology Student Permit - Radiography license(NO.XS000769) which status is Superceded.
| Name | Fata, Angela N. |
|---|---|
| License Number | XS000769 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Dyer |
| State | IN |