The holder whose full name is Blackston, Allysia M.,come from New Carlisle IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP500951) which status is Superceded.
Name | Blackston, Allysia M. |
---|---|
License Number | XP500951 |
License Type | Radiology Provisional Permit - Podiatric Radiography |
License Status | Superceded |
City | New Carlisle |
State | IN |