The holder whose full name is Wieczorek, Nicolas R.,come from Mishawaka IN,hold the Radiology Student Permit - Radiography license(NO.XS003709) which status is Superceded.
| Name | Wieczorek, Nicolas R. |
|---|---|
| License Number | XS003709 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |