The holder whose full name is Lewis, Sidney,come from Indianapolis IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP501528) which status is Superceded.
Name | Lewis, Sidney |
---|---|
License Number | XP501528 |
License Type | Radiology Provisional Permit - Chest Radiography |
License Status | Superceded |
City | Indianapolis |
State | IN |