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 2026-04-16 06:24:31 UTC
LAST UPDATED 2026-04-16 06:24:31 UTC
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