The holder whose full name is Fullerton, Gordon D.,come from Bloomington IN,hold the Radiology Student Permit - Radiography license(NO.XS001006) which status is Superceded.
| Name | Fullerton, Gordon D. |
|---|---|
| License Number | XS001006 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Bloomington |
| State | IN |