The holder whose full name is Lees, Susan A.,come from Fort Wayne IN,hold the Radiology Provisional Permit - Chiropractic Radiography license(NO.XP500549) which status is Expired Non-Renewable.
| Name | Lees, Susan A. |
|---|---|
| License Number | XP500549 |
| License Type | Radiology Provisional Permit - Chiropractic Radiography |
| License Status | Expired Non-Renewable |
| City | Fort Wayne |
| State | IN |