The holder whose full name is Huizenga, Rae E.,come from Crown Point IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP504870) which status is Superceded.
| Name | Huizenga, Rae E. |
|---|---|
| License Number | XP504870 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Superceded |
| City | Crown Point |
| State | IN |