The holder whose full name is Eaton, Jennifer L.,come from Lake Station IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500490) which status is Superceded.
| Name | Eaton, Jennifer L. |
|---|---|
| License Number | XP500490 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Lake Station |
| State | IN |