The holder whose full name is Johnson, Cynthia D.,come from Alexandria IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502309) which status is Superceded.
| Name | Johnson, Cynthia D. |
|---|---|
| License Number | XP502309 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Alexandria |
| State | IN |