The holder whose full name is Birmingham, Tylor James,come from Fort Wayne IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP502853) which status is Superceded.
Name | Birmingham, Tylor James |
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License Number | XP502853 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | Fort Wayne |
State | IN |