The holder whose full name is Plata, Michelle B.,come from Indianapolis IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501030) which status is Superceded.
| Name | Plata, Michelle B. |
|---|---|
| License Number | XP501030 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |