License holder summary

Tiffany A. Blasko is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tiffany A. Blasko is Mishawaka IN 46545-3839. This licensed professional license is not current. The license was granted 10/30/2008 and expired on 04/30/2009.

Indiana

Professional Licensing Agency

Tiffany A. Blasko
Radiology Provisional Permit
License number
XP501486
Date granted
10/30/2008
Date expires
04/30/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Mishawaka IN 46545-3839
indianalicensing.org
ID 8493868
LAST UPDATED 2024-05-16 20:43:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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