The holder whose full name is Hensley, Kimberly D.,come from South Bend IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500950) which status is Superceded.
| Name | Hensley, Kimberly D. |
|---|---|
| License Number | XP500950 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | South Bend |
| State | IN |