Indiana
Professional Licensing Agency
Krystill D. Blankenship
Radiology Provisional Permit
License number
XP501238
Date granted
06/30/2008
Date expires
12/30/2008
Class
Radiology Provisional Permit
Status
Superceded
Address
Indianapolis IN 46259-9406
indianalicensing.org
ID 8492455
LAST UPDATED 2024-05-13 02:03:26 UTC
LAST UPDATED 2024-05-13 02:03:26 UTC
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