The holder whose full name is Martin, Kelly M.,come from Louisville KY,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500727) which status is Expired Non-Renewable.
| Name | Martin, Kelly M. |
|---|---|
| License Number | XP500727 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |