The holder whose full name is Wagner, Julia M.,come from Lafayette IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504893) which status is Expired Non-Renewable.
| Name | Wagner, Julia M. |
|---|---|
| License Number | XP504893 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Expired Non-Renewable |
| City | Lafayette |
| State | IN |