License holder summary

Blake J. Sampson is a Radiology Student Permit licensed to practice in Indiana. The address on file for Blake J. Sampson is Muncie IN 47304-1858. This licensed professional license is not current. The license was granted 10/10/2008 and expired on 02/28/2011.

Indiana

Professional Licensing Agency

Blake J. Sampson
Radiology Student Permit
License number
XS002419
Date granted
10/10/2008
Date expires
02/28/2011
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Muncie IN 47304-1858
indianalicensing.org
ID 8501925
LAST UPDATED 2024-03-14 07:46:48 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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