The holder whose full name is Russo, LynnAnn,come from Portage IN,hold the Radiology Student Permit - Radiography license(NO.XS001824) which status is Superceded.
| Name | Russo, LynnAnn |
|---|---|
| License Number | XS001824 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Portage |
| State | IN |