License Information

The holder whose full name is Bartrom, Kimberly Sue,come from La Fontaine IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502777) which status is Superceded.

NameBartrom, Kimberly Sue
License NumberXP502777
License TypeRadiology Provisional Permit - Cardiac Catheterization
License StatusSuperceded
CityLa Fontaine
StateIN

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