The holder whose full name is Lazaro, Nicole M.,come from Lake Station IN,hold the Radiology Student Permit - Radiography license(NO.XS002921) which status is Superceded.
| Name | Lazaro, Nicole M. |
|---|---|
| License Number | XS002921 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Lake Station |
| State | IN |