The holder whose full name is Bauer, Lisa A.,come from Ingalls IN,hold the Radiology Student Permit - Radiography license(NO.XS004867) which status is Superceded.
| Name | Bauer, Lisa A. |
|---|---|
| License Number | XS004867 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Ingalls |
| State | IN |