License Information

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from Fort Wayne IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP502853) which status is Superceded.

NameBirmingham, Tylor James
License NumberXP502853
License TypeRadiology Provisional Permit - Podiatric Radiography
License StatusSuperceded
CityFort Wayne
StateIN

Comments