The holder whose full name is Gatlin, Beatrice A.,come from Bloomington IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502301) which status is Superceded.
Name | Gatlin, Beatrice A. |
---|---|
License Number | XP502301 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Bloomington |
State | IN |