The holder whose full name is Bush, Lisa R.,come from Garrett IN,hold the Radiology Student Permit - Radiography license(NO.XS005202) which status is Superceded.
| Name | Bush, Lisa R. |
|---|---|
| License Number | XS005202 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Garrett |
| State | IN |