License holder summary

Lacie R. Boltinghouse is a Dental Radiographer licensed to practice in Indiana. The address on file for Lacie R. Boltinghouse is Bloomington IN 47401-8583.

Indiana

Professional Licensing Agency

Lacie R. Boltinghouse
Dental Radiographer
License number
XT013221
Date expires
09/20/2016
Class
Dental Radiographer
Status
Active
Address
Bloomington IN 47401-8583
indianalicensing.org
ID 8459482
LAST UPDATED 2024-03-04 01:07:59 UTC

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