The holder whose full name is Safford, Tiawana,come from Indianapolis IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP502715) which status is Superceded.
| Name | Safford, Tiawana |
|---|---|
| License Number | XP502715 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |