The holder whose full name is Latimer, Marci M.,come from Fishers IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500767) which status is Superceded.
| Name | Latimer, Marci M. |
|---|---|
| License Number | XP500767 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Fishers |
| State | IN |