The holder whose full name is Henry, Heather A.,come from Liberty IN,hold the Radiology Student Permit - Radiography license(NO.XS004356) which status is Superceded.
| Name | Henry, Heather A. |
|---|---|
| License Number | XS004356 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Liberty |
| State | IN |