The holder whose full name is Nilson, Theresa L.,come from Porter IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP504008) which status is Expired Non-Renewable.
| Name | Nilson, Theresa L. |
|---|---|
| License Number | XP504008 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Expired Non-Renewable |
| City | Porter |
| State | IN |