Indiana
Professional Licensing Agency
Charles Bozeman, III
Radiology Student Permit
License number
XS001719
Date granted
05/01/2008
Date expires
11/30/2008
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Lake Station IN 46405-1522
indianalicensing.org
ID 8500987
LAST UPDATED 2026-04-29 04:20:39 UTC
LAST UPDATED 2026-04-29 04:20:39 UTC
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