The holder whose full name is Lake, Dakota J.,come from Louisville KY,hold the Radiology Student Permit - Radiography license(NO.XS007543) which status is Active.
| Name | Lake, Dakota J. |
|---|---|
| License Number | XS007543 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Active |
| City | Louisville |
| State | KY |