The holder whose full name is Johnston, Mandy J.,come from Indianapolis IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP505326) which status is Superceded.
| Name | Johnston, Mandy J. |
|---|---|
| License Number | XP505326 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |