The holder whose full name is Prather, Jason A.,come from Shelbyville IN,hold the Radiology Student Permit - Radiography license(NO.XS000073) which status is Superceded.
| Name | Prather, Jason A. |
|---|---|
| License Number | XS000073 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Shelbyville |
| State | IN |