The holder whose full name is Mattingly, Asia M.,come from Michigan City IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501560) which status is Superceded.
Name | Mattingly, Asia M. |
---|---|
License Number | XP501560 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | Michigan City |
State | IN |