The holder whose full name is Russell, Katie L.,come from Mooresville IN,hold the Radiology Student Permit - Radiography license(NO.XS005129) which status is Superceded.
| Name | Russell, Katie L. |
|---|---|
| License Number | XS005129 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Mooresville |
| State | IN |