The holder whose full name is Stark, Amanda M.,come from Bedford KY,hold the Radiology Student Permit - Radiography license(NO.XS000747) which status is Superceded.
| Name | Stark, Amanda M. |
|---|---|
| License Number | XS000747 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Bedford |
| State | KY |