The holder whose full name is Richardson, Kenya,come from Crown Point IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP502285) which status is Superceded.
Name | Richardson, Kenya |
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License Number | XP502285 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | Crown Point |
State | IN |