License holder summary

Tara B. Boggs is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tara B. Boggs is Brookville IN 47012. This licensed professional license is current. The license was granted 06/13/2014 and expired on 12/13/2014.

Indiana

Professional Licensing Agency

Tara B. Boggs
Radiology Provisional Permit
License number
XP505613
Date granted
06/13/2014
Date expires
12/13/2014
Class
Radiology Provisional Permit
Status
Active
Address
Brookville IN 47012
indianalicensing.org
ID 29206029
LAST UPDATED 2024-04-14 20:13:41 UTC

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