The holder whose full name is Light, Carol E.,come from Goodland IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501138) which status is Superceded.
Name | Light, Carol E. |
---|---|
License Number | XP501138 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | Goodland |
State | IN |