The holder whose full name is Coates, Theresa M.,come from Merrillville IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500562) which status is Superceded.
| Name | Coates, Theresa M. |
|---|---|
| License Number | XP500562 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Merrillville |
| State | IN |