The holder whose full name is Deaton-Adams, Tammy J.,come from Charlestown IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP502816) which status is Superceded.
| Name | Deaton-Adams, Tammy J. |
|---|---|
| License Number | XP502816 |
| License Type | Radiology Provisional Permit - Cardiac Catheterization |
| License Status | Superceded |
| City | Charlestown |
| State | IN |