The holder whose full name is Eizenga, Lisa J.,come from Dyer IN,hold the Radiology Student Permit - Radiography license(NO.XS003850) which status is Expired Non-Renewable.
| Name | Eizenga, Lisa J. |
|---|---|
| License Number | XS003850 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Expired Non-Renewable |
| City | Dyer |
| State | IN |