The holder whose full name is Ellis, Kimberly M.,come from Gary IN,hold the Radiology Student Permit - Radiography license(NO.XS002879) which status is Expired Non-Renewable.
| Name | Ellis, Kimberly M. |
|---|---|
| License Number | XS002879 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Expired Non-Renewable |
| City | Gary |
| State | IN |