The holder whose full name is Benge, Lana M.,come from Mooresville IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP503590) which status is Superceded.
| Name | Benge, Lana M. |
|---|---|
| License Number | XP503590 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Mooresville |
| State | IN |