The holder whose full name is Douglas, Chaka Michelle,come from New Albany IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500244) which status is Expired Non-Renewable.
Name | Douglas, Chaka Michelle |
---|---|
License Number | XP500244 |
License Type | Radiology Provisional Permit - Limited Medical Radiology |
License Status | Expired Non-Renewable |
City | New Albany |
State | IN |