The holder whose full name is Ervin, Tina M.,come from Louisville KY,hold the Radiology Provisional Permit license(NO.XP505634) which status is Active.
| Name | Ervin, Tina M. |
|---|---|
| License Number | XP505634 |
| License Type | Radiology Provisional Permit |
| License Status | Active |
| City | Louisville |
| State | KY |