The holder whose full name is Dausch, Nicole M.,come from Indianapolis IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500243) which status is Expired Non-Renewable.
Name | Dausch, Nicole M. |
---|---|
License Number | XP500243 |
License Type | Radiology Provisional Permit - Limited Medical Radiology |
License Status | Expired Non-Renewable |
City | Indianapolis |
State | IN |