The holder whose full name is Burris, Teresa S.,come from Greenwood IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500339) which status is Superceded.
| Name | Burris, Teresa S. |
|---|---|
| License Number | XP500339 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Greenwood |
| State | IN |