License holder summary

STACY K BOUTELLE is a Radiology Personnel - Auxiliary Person by App licensed to practice in Pennsylvania. The address on file for STACY K BOUTELLE is SINKING SPRGS PA 19608. This licensed professional license is current. The license was granted 04/09/1988.

Pennsylvania

Department of State

STACY K BOUTELLE
Radiology Personnel - Auxiliary Person by App
License number
XD006400L
Date granted
04/09/1988
Class
Radiology Personnel - Auxiliary Person by App
Status
Active
Address
SINKING SPRGS PA 19608
palicensing.org
ID 17392081
LAST UPDATED 2024-04-28 18:07:51 UTC

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