The holder whose full name is Haywood, JerriLynn K.,come from Portage IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP503586) which status is Expired Non-Renewable.
| Name | Haywood, JerriLynn K. |
|---|---|
| License Number | XP503586 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Expired Non-Renewable |
| City | Portage |
| State | IN |