The holder whose full name is Beanblossom, Robin L.,come from New Albany IN,hold the Radiology Provisional Permit - Chest Radiography license(NO.XP502976) which status is Expired Non-Renewable.
| Name | Beanblossom, Robin L. |
|---|---|
| License Number | XP502976 |
| License Type | Radiology Provisional Permit - Chest Radiography |
| License Status | Expired Non-Renewable |
| City | New Albany |
| State | IN |