The holder whose full name is Spurlock, Paula,come from Portage IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501337) which status is Superceded.
| Name | Spurlock, Paula |
|---|---|
| License Number | XP501337 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Portage |
| State | IN |