The holder whose full name is Goepfrich, Darlene S.,come from Jasper IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP501112) which status is Superceded.
Name | Goepfrich, Darlene S. |
---|---|
License Number | XP501112 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Jasper |
State | IN |