The holder whose full name is Conn, Angela L.,come from Indianapolis IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502116) which status is Superceded.
Name | Conn, Angela L. |
---|---|
License Number | XP502116 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Indianapolis |
State | IN |