The holder whose full name is Cook, Lorelie J.,come from Granger IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502782) which status is Superceded.
| Name | Cook, Lorelie J. |
|---|---|
| License Number | XP502782 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Granger |
| State | IN |