The holder whose full name is Douglas, Bobbie J.,come from Lapel IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502785) which status is Superceded.
| Name | Douglas, Bobbie J. |
|---|---|
| License Number | XP502785 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Lapel |
| State | IN |