The holder whose full name is Bauer, Matt R.,come from Vincennes IN,hold the Radiology Student Permit - Radiography license(NO.XS000565) which status is Superceded.
| Name | Bauer, Matt R. |
|---|---|
| License Number | XS000565 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Vincennes |
| State | IN |