The holder whose full name is Blackburn, Justine C.,come from Vincennes IN,hold the Radiology Student Permit - Radiography license(NO.XS005608) which status is Superceded.
| Name | Blackburn, Justine C. |
|---|---|
| License Number | XS005608 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Superceded |
| City | Vincennes |
| State | IN |