Indiana
Professional Licensing Agency
Blain E. Stout
Radiologic Technologist
License number
XT020783
Date granted
07/24/2012
Date expires
07/24/2016
Class
Radiologic Technologist
Status
Active
Address
Greenwood IN 46143
indianalicensing.org
ID 8480532
LAST UPDATED 2024-03-16 18:06:30 UTC
LAST UPDATED 2024-03-16 18:06:30 UTC
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