The holder whose full name is McCollum, Maggie R.,come from Lanesville IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504371) which status is Superceded.
| Name | McCollum, Maggie R. |
|---|---|
| License Number | XP504371 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Lanesville |
| State | IN |