The holder whose full name is Phillips, Paula K.,come from Fairfield IL,hold the Radiology Student Permit - Radiography license(NO.XS004721) which status is Superceded.
| Name | Phillips, Paula K. |
|---|---|
| License Number | XS004721 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Fairfield |
| State | IL |