The holder whose full name is Angell, Lynette S.,come from New Washington IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500210) which status is Superceded.
| Name | Angell, Lynette S. |
|---|---|
| License Number | XP500210 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | New Washington |
| State | IN |