The holder whose full name is Fisher, Nichole R.,come from New Palestine IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500336) which status is Superceded.
| Name | Fisher, Nichole R. |
|---|---|
| License Number | XP500336 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | New Palestine |
| State | IN |