The holder whose full name is Hostetler, Gina D.,come from Lafayette IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500436) which status is Expired Non-Renewable.
| Name | Hostetler, Gina D. |
|---|---|
| License Number | XP500436 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Lafayette |
| State | IN |