The holder whose full name is Moore, Traci Vaughn,come from Greenwood IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP504721) which status is Superceded.
| Name | Moore, Traci Vaughn |
|---|---|
| License Number | XP504721 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |