The holder whose full name is Auch, Tina A.,come from Whitestown IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500354) which status is Superceded.
| Name | Auch, Tina A. |
|---|---|
| License Number | XP500354 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Whitestown |
| State | IN |