The holder whose full name is Story, Mark W.,come from Huntington IN,hold the Radiology Student Permit - Radiography license(NO.XS000956) which status is Superceded.
| Name | Story, Mark W. |
|---|---|
| License Number | XS000956 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Huntington |
| State | IN |