The holder whose full name is Washington, Ebony V.,come from Hobart IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP504765) which status is Superceded.
| Name | Washington, Ebony V. |
|---|---|
| License Number | XP504765 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Hobart |
| State | IN |