The holder whose full name is Bultman, Kara Lynn,come from Cutler IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP505397) which status is Superceded.
| Name | Bultman, Kara Lynn |
|---|---|
| License Number | XP505397 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Cutler |
| State | IN |