The holder whose full name is Lewis, Shantel D.,come from Louisville KY,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500737) which status is Expired Non-Renewable.
| Name | Lewis, Shantel D. |
|---|---|
| License Number | XP500737 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Expired Non-Renewable |
| City | Louisville |
| State | KY |