The holder whose full name is Rugenstein, Virginia Pate,come from Rock Island IL,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP501005) which status is Superceded.
| Name | Rugenstein, Virginia Pate |
|---|---|
| License Number | XP501005 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Rock Island |
| State | IL |