The holder whose full name is Dalton, Janice M.,come from Lafayette IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP504377) which status is Superceded.
Name | Dalton, Janice M. |
---|---|
License Number | XP504377 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | Lafayette |
State | IN |