The holder whose full name is Castro, Jennifer L.,come from Indianapolis IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500335) which status is Superceded.
| Name | Castro, Jennifer L. |
|---|---|
| License Number | XP500335 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |