The holder whose full name is Salazar, Andrea M.,come from Portage IN,hold the Radiology Student Permit - Radiography license(NO.XS005704) which status is Superceded.
| Name | Salazar, Andrea M. |
|---|---|
| License Number | XS005704 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Portage |
| State | IN |