The holder whose full name is Perez, Karol-Lisa,come from Indianapolis IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP501083) which status is Superceded.
| Name | Perez, Karol-Lisa |
|---|---|
| License Number | XP501083 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |