License holder summary

Tiffani D Blank is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tiffani D Blank is Corydon IN 47112. This licensed professional license is not current. The license was granted 03/31/2014 and expired on 09/30/2014.

Indiana

Professional Licensing Agency

Tiffani D Blank
Radiology Provisional Permit
License number
XP505452
Date granted
03/31/2014
Date expires
09/30/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Corydon IN 47112
indianalicensing.org
ID 29206178
LAST UPDATED 2024-03-07 22:17:10 UTC

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