The holder whose full name is Gonzales, Frank,come from Portage IN,hold the Radiology Student Permit - Radiography license(NO.XS000468) which status is Superceded.
| Name | Gonzales, Frank |
|---|---|
| License Number | XS000468 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Portage |
| State | IN |