The holder whose full name is Cook, Michael A.,come from Mishawaka IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504145) which status is Superceded.
Name | Cook, Michael A. |
---|---|
License Number | XP504145 |
License Type | Radiology Provisional Permit - Chiropractic Radiography |
License Status | Superceded |
City | Mishawaka |
State | IN |