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La Fontaine IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502777) which status is Superceded.
Name | Bartrom, Kimberly Sue |
---|---|
License Number | XP502777 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | La Fontaine |
State | IN |