The holder whose full name is Whited, Polly A.,come from La Grange KY,hold the Radiology Student Permit - Radiography license(NO.XS001898) which status is Expired Non-Renewable.
| Name | Whited, Polly A. |
|---|---|
| License Number | XS001898 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Expired Non-Renewable |
| City | La Grange |
| State | KY |