The holder whose full name is Dietz, LaCrista L.,come from Owenton KY,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504789) which status is Expired Non-Renewable.
Name | Dietz, LaCrista L. |
---|---|
License Number | XP504789 |
License Type | Radiology Provisional Permit - Chiropractic Radiography |
License Status | Expired Non-Renewable |
City | Owenton |
State | KY |