The holder whose full name is Fore, Tabytha A.,come from Indianapolis IN,hold the Radiology Student Permit - Radiography license(NO.XS000969) which status is Superceded.
| Name | Fore, Tabytha A. |
|---|---|
| License Number | XS000969 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |