The holder whose full name is Chapa, Maribeth,come from Griffith IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP503718) which status is Superceded.
| Name | Chapa, Maribeth |
|---|---|
| License Number | XP503718 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Griffith |
| State | IN |