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from Lake Station IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500490) which status is Superceded.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License Status | Superceded |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 |