The holder whose full name is Alvarez, Alfonso,come from Hammond IN,hold the Radiology Student Permit - Radiography license(NO.XS004685) which status is Superceded.
| Name | Alvarez, Alfonso |
|---|---|
| License Number | XS004685 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Hammond |
| State | IN |