The holder whose full name is Mikeworth, Amanda L.,come from Robinson IL,hold the Radiology Student Permit - Radiography license(NO.XS004694) which status is Superceded.
| Name | Mikeworth, Amanda L. |
|---|---|
| License Number | XS004694 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Robinson |
| State | IL |