The holder whose full name is Upshaw, Teresa R.,come from Indianapolis IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500353) which status is Expired Non-Renewable.
| Name | Upshaw, Teresa R. |
|---|---|
| License Number | XP500353 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |