The holder whose full name is Tennancour, Andrea Elaine,come from Zionsville IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP505368) which status is Superceded.
| Name | Tennancour, Andrea Elaine |
|---|---|
| License Number | XP505368 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Zionsville |
| State | IN |