The holder whose full name is Dietz, LaCrista L.,come from Owenton KY,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP504788) which status is Expired Non-Renewable.
| Name | Dietz, LaCrista L. |
|---|---|
| License Number | XP504788 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Expired Non-Renewable |
| City | Owenton |
| State | KY |