The holder whose full name is Miskowiec, LeeAnn,come from Jamestown IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500458) which status is Expired Non-Renewable.
| Name | Miskowiec, LeeAnn |
|---|---|
| License Number | XP500458 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Jamestown |
| State | IN |