The holder whose full name is Mainous, Heath W.,come from Brookville IN,hold the Radiology Student Permit - Radiography license(NO.XS004357) which status is Superceded.
| Name | Mainous, Heath W. |
|---|---|
| License Number | XS004357 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Brookville |
| State | IN |