License holder summary

LYSTRA THEOPHILLE-GRANNUM is a Radiology Personnel - Auxiliary Person by Exam licensed to practice in Pennsylvania. The address on file for LYSTRA THEOPHILLE-GRANNUM is Tampa FL 33612. This licensed professional license is current. The license was granted 06/04/2010.

Pennsylvania

Department of State

LYSTRA THEOPHILLE-GRANNUM
Radiology Personnel - Auxiliary Person by Exam
License number
005592
Date granted
06/04/2010
Class
Radiology Personnel - Auxiliary Person by Exam
Status
Active
Address
Tampa FL 33612
palicensing.org
ID 17412381
LAST UPDATED 2026-06-10 00:19:11 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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