License holder summary

Holly D. Boutwell is a Radiology Student Permit licensed to practice in Indiana. The address on file for Holly D. Boutwell is Mooresville IN 46158-1727. This licensed professional license is not current. The license was granted 08/13/2007 and expired on 05/31/2008.

Indiana

Professional Licensing Agency

Holly D. Boutwell
Radiology Student Permit
License number
XS001141
Date granted
08/13/2007
Date expires
05/31/2008
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Mooresville IN 46158-1727
indianalicensing.org
ID 8501815
LAST UPDATED 2024-03-13 18:56:40 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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