License holder summary

Tracie D. Boggs is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Tracie D. Boggs is Marysville IN 47141. This licensed professional license is not current. The license was granted 01/28/2014 and expired on 07/28/2014.

Indiana

Professional Licensing Agency

Tracie D. Boggs
Radiology Provisional Permit
License number
XP505247
Date granted
01/28/2014
Date expires
07/28/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Marysville IN 47141
indianalicensing.org
ID 29207085
LAST UPDATED 2024-02-20 16:27:39 UTC

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