The holder whose full name is Mailloux, Laura M.,come from Charlestown IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP502134) which status is Expired Non-Renewable.
| Name | Mailloux, Laura M. |
|---|---|
| License Number | XP502134 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Expired Non-Renewable |
| City | Charlestown |
| State | IN |