The holder whose full name is Backs, Michael J.,come from Marion IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP503367) which status is Superceded.
| Name | Backs, Michael J. |
|---|---|
| License Number | XP503367 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Marion |
| State | IN |