The holder whose full name is Small, Amber N.,come from Louisville KY,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP503357) which status is Superceded.
Name | Small, Amber N. |
---|---|
License Number | XP503357 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Louisville |
State | KY |