License holder summary

Tanya N. Blake is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tanya N. Blake is Middletown IN 47356. This licensed professional license is not current. The license was granted 01/30/2009 and expired on 07/30/2009.

Indiana

Professional Licensing Agency

Tanya N. Blake
Radiology Provisional Permit
License number
XP501606
Date granted
01/30/2009
Date expires
07/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Middletown IN 47356
indianalicensing.org
ID 8494272
LAST UPDATED 2024-04-13 23:31:31 UTC

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