The holder whose full name is Horton, Jacob Miles,come from Henryville IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP505671) which status is Active.
| Name | Horton, Jacob Miles |
|---|---|
| License Number | XP505671 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Active |
| City | Henryville |
| State | IN |