The holder whose full name is Thacker, Andrea L.,come from New Haven IN,hold the Radiology Student Permit - Radiography license(NO.XS000190) which status is Superceded.
| Name | Thacker, Andrea L. |
|---|---|
| License Number | XS000190 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | New Haven |
| State | IN |