The holder whose full name is Baker, Christina S.,come from Fairfield IL,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP503555) which status is Superceded.
| Name | Baker, Christina S. |
|---|---|
| License Number | XP503555 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Fairfield |
| State | IL |