Indiana
Professional Licensing Agency
Airion N. Bollenbaugh
Radiology Student Permit
License number
XS001764
Date granted
05/19/2008
Date expires
11/30/2010
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Farmersburg IN 47850-8091
indianalicensing.org
ID 8498259
LAST UPDATED 2026-04-28 08:03:34 UTC
LAST UPDATED 2026-04-28 08:03:34 UTC
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