The holder whose full name is Thomas, Lisa M.,come from Muncie IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP504571) which status is Superceded.
| Name | Thomas, Lisa M. |
|---|---|
| License Number | XP504571 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Muncie |
| State | IN |