The holder whose full name is Eastridge, Joshua Kyle,come from Campbellsville KY,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500698) which status is Expired Non-Renewable.
| Name | Eastridge, Joshua Kyle |
|---|---|
| License Number | XP500698 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Campbellsville |
| State | KY |