The holder whose full name is Hall, Heather L.,come from Greenwood IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP505134) which status is Superceded.
| Name | Hall, Heather L. |
|---|---|
| License Number | XP505134 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |