The holder whose full name is Fox, Fallon J.,come from Bloomington IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP502966) which status is Superceded.
| Name | Fox, Fallon J. |
|---|---|
| License Number | XP502966 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Bloomington |
| State | IN |