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 2026-05-27 10:29:25 UTC
LAST UPDATED 2026-05-27 10:29:25 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.