The holder whose full name is Sampson, Blake J.,come from Muncie IN,hold the Radiology Student Permit - Radiography license(NO.XS002419) which status is Expired Non-Renewable.
| Name | Sampson, Blake J. |
|---|---|
| License Number | XS002419 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Expired Non-Renewable |
| City | Muncie |
| State | IN |