The holder whose full name is Gonzalez, Gladys A.,come from Fort Wayne IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500575) which status is Expired Non-Renewable.
Name | Gonzalez, Gladys A. |
---|---|
License Number | XP500575 |
License Type | Radiology Provisional Permit - Limited Medical Radiology |
License Status | Expired Non-Renewable |
City | Fort Wayne |
State | IN |