Indiana
Professional Licensing Agency
Paige M. Boeckman
Radiology Provisional Permit
License number
XP504534
Date granted
02/13/2013
Date expires
08/13/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Santa Claus, IN 47579
indianalicensing.org
ID 8495182
LAST UPDATED 2026-03-17 06:55:44 UTC
LAST UPDATED 2026-03-17 06:55:44 UTC
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