License holder summary

Amber R. DeCook is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Amber R. DeCook is South Bend IN 46614-1907. This licensed professional license is not current. The license was granted 03/22/2011 and expired on 09/22/2011.

Indiana

Professional Licensing Agency

Amber R. DeCook
Radiology Provisional Permit
License number
XP503272
Date granted
03/22/2011
Date expires
09/22/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
South Bend IN 46614-1907
indianalicensing.org
ID 8495376
LAST UPDATED 2024-04-09 12:53:47 UTC

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