The holder whose full name is Bates, Christopher Thomas,come from Fort Wayne IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502776) which status is Superceded.
| Name | Bates, Christopher Thomas |
|---|---|
| License Number | XP502776 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |