The holder whose full name is Davidson, Priscilla Nicole,come from Bloomington IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500558) which status is Superceded.
| Name | Davidson, Priscilla Nicole |
|---|---|
| License Number | XP500558 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Bloomington |
| State | IN |