Indiana
Professional Licensing Agency
Alicia D. Boger
Radiology Provisional Permit
License number
XP504722
Date granted
05/08/2013
Date expires
11/08/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Vincennes IN 47591
indianalicensing.org
ID 8495871
LAST UPDATED 2024-03-11 09:15:28 UTC
LAST UPDATED 2024-03-11 09:15:28 UTC
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