The holder whose full name is Waltz, Desiree M.,come from Shelbyville IN,hold the Radiology Student Permit - Radiography license(NO.XS002877) which status is Superceded.
| Name | Waltz, Desiree M. |
|---|---|
| License Number | XS002877 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Shelbyville |
| State | IN |