The holder whose full name is Long, Jason T.,come from Terre Haute IN,hold the Radiology Student Permit - Radiography license(NO.XS000336) which status is Superceded.
Name | Long, Jason T. |
---|---|
License Number | XS000336 |
License Type | Radiology Student Permit - Radiography |
License Status | Superceded |
City | Terre Haute |
State | IN |