The holder whose full name is Fights, Michael Jay,come from Lafayette IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP503376) which status is Superceded.
Name | Fights, Michael Jay |
---|---|
License Number | XP503376 |
License Type | Radiology Provisional Permit - Cardiac Catheterization |
License Status | Superceded |
City | Lafayette |
State | IN |