The holder whose full name is Chaney, Tanisha F.,come from Indianapolis IN,hold the Radiology Provisional Permit - Limited Medical Radiology license(NO.XP500342) which status is Superceded.
| Name | Chaney, Tanisha F. |
|---|---|
| License Number | XP500342 |
| License Type | Radiology Provisional Permit - Limited Medical Radiology |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |