The holder whose full name is McCallister, Tracy L.,come from Terre Haute IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500437) which status is Expired Non-Renewable.
Name | McCallister, Tracy L. |
---|---|
License Number | XP500437 |
License Type | Radiology Provisional Permit - Limited Medical Radiology |
License Status | Expired Non-Renewable |
City | Terre Haute |
State | IN |