The holder whose full name is Munk, Amanda F.,come from Pekin IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP502668) which status is Superceded.
| Name | Munk, Amanda F. |
|---|---|
| License Number | XP502668 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Superceded |
| City | Pekin |
| State | IN |