The holder whose full name is Kehrt, Lisa M.,come from Plainfield IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500617) which status is Expired Non-Renewable.
Name | Kehrt, Lisa M. |
---|---|
License Number | XP500617 |
License Type | Radiology Provisional Permit - Limited Medical Radiology |
License Status | Expired Non-Renewable |
City | Plainfield |
State | IN |