The holder whose full name is Smith, Colby D.,come from Franklin IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500352) which status is Superceded.
| Name | Smith, Colby D. |
|---|---|
| License Number | XP500352 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Franklin |
| State | IN |