Indiana
Professional Licensing Agency
Justine C. Blackburn
Radiology Student Permit
License number
XS005608
Date granted
05/15/2012
Date expires
11/30/2014
Class
Radiology Student Permit
Status
Superceded
Address
Vincennes IN 47591
indianalicensing.org
ID 8503805
LAST UPDATED 2026-06-04 04:23:33 UTC
LAST UPDATED 2026-06-04 04:23:33 UTC
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