The holder whose full name is Ude, Alexandra C.,come from Kokomo IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500307) which status is Superceded.
| Name | Ude, Alexandra C. |
|---|---|
| License Number | XP500307 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Kokomo |
| State | IN |