The holder whose full name is Smith, Amanda N.,come from Camby IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP505939) which status is Active.
| Name | Smith, Amanda N. |
|---|---|
| License Number | XP505939 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Active |
| City | Camby |
| State | IN |