The holder whose full name is Vandewalle, Sara M.,come from Lafayette IN,hold the Radiology Student Permit - Radiography license(NO.XS005688) which status is Superceded.
| Name | Vandewalle, Sara M. |
|---|---|
| License Number | XS005688 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Lafayette |
| State | IN |