Indiana
Professional Licensing Agency
Josh Blodgett
Radiology Provisional Permit
License number
XP505200
Date granted
01/17/2014
Date expires
07/17/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46835
indianalicensing.org
ID 29206430
LAST UPDATED 2024-03-25 10:51:57 UTC
LAST UPDATED 2024-03-25 10:51:57 UTC
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