The holder whose full name is Russell, Tondalaya A.,come from Indianapolis IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500305) which status is Superceded.
| Name | Russell, Tondalaya A. |
|---|---|
| License Number | XP500305 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |