The holder whose full name is Phelps, Tina M.,come from Noblesville IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501516) which status is Superceded.
| Name | Phelps, Tina M. |
|---|---|
| License Number | XP501516 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Noblesville |
| State | IN |