The holder whose full name is Denniston, Beth A.,come from Bloomington IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP503461) which status is Superceded.
| Name | Denniston, Beth A. |
|---|---|
| License Number | XP503461 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Bloomington |
| State | IN |