The holder whose full name is Ault, Maria Kay,come from Vincennes IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500212) which status is Expired Non-Renewable.
| Name | Ault, Maria Kay |
|---|---|
| License Number | XP500212 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Vincennes |
| State | IN |