Indiana
Professional Licensing Agency
Mary Sue Blankenship
Radiology Provisional Permit
License number
XP504615
Date granted
03/18/2013
Date expires
09/18/2013
Class
Radiology Provisional Permit
Status
Superceded
Address
Charlestown IN 47111
indianalicensing.org
ID 8489568
LAST UPDATED 2024-04-03 07:00:22 UTC
LAST UPDATED 2024-04-03 07:00:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.