The holder whose full name is Bannourah, Tanya R.,come from Indianapolis IN,hold the Radiology Student Permit - Radiography license(NO.XS003014) which status is Superceded.
| Name | Bannourah, Tanya R. |
|---|---|
| License Number | XS003014 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |