The holder whose full name is Drake, Lana D.,come from Paoli IN,hold the Radiology Student Permit - Radiography license(NO.XS002562) which status is Superceded.
| Name | Drake, Lana D. |
|---|---|
| License Number | XS002562 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Paoli |
| State | IN |