Indiana
Professional Licensing Agency
Samantha M. Buza
Radiology Provisional Permit
License number
XP503176
Date granted
02/15/2011
Date expires
08/15/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Cedar Lake IN 46303-9415
indianalicensing.org
ID 8489497
LAST UPDATED 2024-02-17 22:51:03 UTC
LAST UPDATED 2024-02-17 22:51:03 UTC
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