The holder whose full name is Fornuto, Christine U.,come from Avon IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500775) which status is Superceded.
| Name | Fornuto, Christine U. |
|---|---|
| License Number | XP500775 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Avon |
| State | IN |