The holder whose full name is Smith, Ethan C.,come from Loretto KY,hold the Radiology Student Permit - Radiography license(NO.XS005420) which status is Expired Non-Renewable.
| Name | Smith, Ethan C. |
|---|---|
| License Number | XS005420 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Expired Non-Renewable |
| City | Loretto |
| State | KY |