The holder whose full name is Koziel, Jacob J.,come from Indianapolis IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504952) which status is Expired Non-Renewable.
| Name | Koziel, Jacob J. |
|---|---|
| License Number | XP504952 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |