The holder whose full name is Smith, Kristy A.,come from Columbus IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP504502) which status is Superceded.
Name | Smith, Kristy A. |
---|---|
License Number | XP504502 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Columbus |
State | IN |