The holder whose full name is Altemeyer, Mark A.,come from Salem IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP502579) which status is Superceded.
Name | Altemeyer, Mark A. |
---|---|
License Number | XP502579 |
License Type | Radiology Provisional Permit - Chest Radiography |
License Status | Superceded |
City | Salem |
State | IN |