The holder whose full name is Ross, Kim M.,come from Evansville IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP501889) which status is Superceded.
| Name | Ross, Kim M. |
|---|---|
| License Number | XP501889 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Evansville |
| State | IN |