The holder whose full name is Dewitt, Lauren B.,come from Portage IN,hold the Radiology Student Permit - Radiography license(NO.XS002903) which status is Superceded.
| Name | Dewitt, Lauren B. |
|---|---|
| License Number | XS002903 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Portage |
| State | IN |