The holder whose full name is Breiva, Kristina L.,come from Lizton IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500338) which status is Expired Non-Renewable.
Name | Breiva, Kristina L. |
---|---|
License Number | XP500338 |
License Type | Radiology Provisional Permit - Limited Medical Radiology |
License Status | Expired Non-Renewable |
City | Lizton |
State | IN |