Indiana
Professional Licensing Agency
Anne M. Boenig
Radiology Provisional Permit
License number
XP502112
Date granted
10/26/2009
Date expires
04/26/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Georgetown IN 47122-9083
indianalicensing.org
ID 8491322
LAST UPDATED 2026-06-24 04:06:10 UTC
LAST UPDATED 2026-06-24 04:06:10 UTC
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