The holder whose full name is Trivett, Lisa C.,come from Plainfield IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP501081) which status is Expired Non-Renewable.
| Name | Trivett, Lisa C. |
|---|---|
| License Number | XP501081 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Expired Non-Renewable |
| City | Plainfield |
| State | IN |