The holder whose full name is Padilla, Jincy M.,come from Anderson IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP502005) which status is Superceded.
| Name | Padilla, Jincy M. |
|---|---|
| License Number | XP502005 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Anderson |
| State | IN |