Indiana
Professional Licensing Agency
Bethany A. Blanco
Radiology Provisional Permit
License number
XP501765
Date granted
05/01/2009
Date expires
11/01/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Indianapolis IN 46240-4424
indianalicensing.org
ID 8492191
LAST UPDATED 2024-03-04 02:56:27 UTC
LAST UPDATED 2024-03-04 02:56:27 UTC
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