The holder whose full name is Manning, Lesa Jane,come from Indianapolis IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502120) which status is Superceded.
| Name | Manning, Lesa Jane |
|---|---|
| License Number | XP502120 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |