The holder whose full name is Anderson, Margaret Ann,come from Milltown IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500238) which status is Superceded.
| Name | Anderson, Margaret Ann |
|---|---|
| License Number | XP500238 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Milltown |
| State | IN |