The holder whose full name is Shioshvili, Natia,come from South Bend IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP502098) which status is Superceded.
Name | Shioshvili, Natia |
---|---|
License Number | XP502098 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | South Bend |
State | IN |