The holder whose full name is Collins, Melo-Dee,come from Marion IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502796) which status is Superceded.
Name | Collins, Melo-Dee |
---|---|
License Number | XP502796 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Marion |
State | IN |