The holder whose full name is Jimenez-Santana, Christina Okonski,come from South Bend IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500555) which status is Superceded.
| Name | Jimenez-Santana, Christina Okonski |
|---|---|
| License Number | XP500555 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | South Bend |
| State | IN |