The holder whose full name is Bates, Laura J.,come from Bremen IN,hold the Radiology Student Permit - Radiography license(NO.XS005864) which status is Superceded.
| Name | Bates, Laura J. |
|---|---|
| License Number | XS005864 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Bremen |
| State | IN |