The holder whose full name is Zimmerman, Shannon L.,come from Sheridan IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500573) which status is Superceded.
| Name | Zimmerman, Shannon L. |
|---|---|
| License Number | XP500573 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Sheridan |
| State | IN |