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Michigan City IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501560) which status is Superceded.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| License Status | Superceded |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 |