License holder summary

Samantha M. Buza is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha M. Buza is Cedar Lake IN 46303-9415. This licensed professional license is not current. The license was granted 02/15/2011 and expired on 08/15/2011.

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

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