The holder whose full name is Blevins, Karmen J.,come from Medora IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP501935) which status is Superceded.
| Name | Blevins, Karmen J. |
|---|---|
| License Number | XP501935 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Superceded |
| City | Medora |
| State | IN |