The holder whose full name is Johnson, Dawn M.,come from Jeffersonville IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500556) which status is Expired Non-Renewable.
| Name | Johnson, Dawn M. |
|---|---|
| License Number | XP500556 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Jeffersonville |
| State | IN |