Indiana
Professional Licensing Agency
Robin L. Beanblossom
Radiology Provisional Permit
License number
XP502964
Date granted
11/04/2010
Date expires
05/04/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
New Albany IN 47150-2747
indianalicensing.org
ID 8494184
LAST UPDATED 2024-04-09 06:36:48 UTC
LAST UPDATED 2024-04-09 06:36:48 UTC
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