License holder summary

Gabrielle M. Blackburn is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Gabrielle M. Blackburn is Marion IN 46953. This licensed professional license is not current. The license was granted 05/23/2013 and expired on 11/23/2013.

Indiana

Professional Licensing Agency

Gabrielle M. Blackburn
Radiology Provisional Permit
License number
XP504772
Date granted
05/23/2013
Date expires
11/23/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Marion IN 46953
indianalicensing.org
ID 8493497
LAST UPDATED 2024-02-14 02:55:34 UTC

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