The holder whose full name is Weingart, Lisa M.,come from Anderson IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP503595) which status is Superceded.
| Name | Weingart, Lisa M. |
|---|---|
| License Number | XP503595 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Anderson |
| State | IN |