The holder whose full name is Laney, Michelle R.,come from Clinton IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500563) which status is Superceded.
| Name | Laney, Michelle R. |
|---|---|
| License Number | XP500563 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Clinton |
| State | IN |