License holder summary

Myra L. Blackburn is a Radiology Student Permit licensed to practice in Indiana. The address on file for Myra L. Blackburn is Denver IN 46926. This licensed professional license is current. The license was granted 10/27/2014 and expired on 01/31/2016.

Indiana

Professional Licensing Agency

Myra L. Blackburn
Radiology Student Permit
License number
XS007689
Date granted
10/27/2014
Date expires
01/31/2016
Class
Radiology Student Permit
Status
Active
Address
Denver IN 46926
indianalicensing.org
ID 29208247
LAST UPDATED 2024-05-01 10:17:24 UTC

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