The holder whose full name is Childers, Fawn L.,come from Salem IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP502258) which status is Expired Non-Renewable.
| Name | Childers, Fawn L. |
|---|---|
| License Number | XP502258 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Expired Non-Renewable |
| City | Salem |
| State | IN |