The holder whose full name is Mackin, Lisa S.,come from South Bend IN,hold the Radiology Student Permit - Radiography license(NO.XS000662) which status is Superceded.
| Name | Mackin, Lisa S. |
|---|---|
| License Number | XS000662 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | South Bend |
| State | IN |