License holder summary

Blondella M. Havens is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Blondella M. Havens is Jeffersonville IN 47130-5792. This licensed professional license is not current. The license was granted 10/04/2010 and expired on 04/04/2011.

Indiana

Professional Licensing Agency

Blondella M. Havens
Radiology Provisional Permit
License number
XP502871
Date granted
10/04/2010
Date expires
04/04/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Jeffersonville IN 47130-5792
indianalicensing.org
ID 8492783
LAST UPDATED 2024-03-28 20:11:57 UTC

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