The holder whose full name is Wells, Gary Thomas,come from Evansville IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP501890) which status is Superceded.
Name | Wells, Gary Thomas |
---|---|
License Number | XP501890 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Evansville |
State | IN |