The holder whose full name is Altemeyer, Mark A.,come from Salem IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP502580) which status is Superceded.
| Name | Altemeyer, Mark A. |
|---|---|
| License Number | XP502580 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Salem |
| State | IN |