The holder whose full name is Heidenreich, Laura L.,come from Fort Wayne IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP503360) which status is Superceded.
Name | Heidenreich, Laura L. |
---|---|
License Number | XP503360 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Fort Wayne |
State | IN |