The holder whose full name is Sprong, Camela R.,come from Columbus IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502183) which status is Superceded.
Name | Sprong, Camela R. |
---|---|
License Number | XP502183 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Columbus |
State | IN |