The holder whose full name is Hartman, Tara L.,come from Elkhart IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504627) which status is Superceded.
| Name | Hartman, Tara L. |
|---|---|
| License Number | XP504627 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Elkhart |
| State | IN |