Indiana
Professional Licensing Agency
Amy N. Buckman
Radiology Provisional Permit
License number
XP500361
Date granted
10/06/2006
Date expires
12/31/2007
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Holland IN 475419710
indianalicensing.org
ID 8492066
LAST UPDATED 2026-05-11 03:36:54 UTC
LAST UPDATED 2026-05-11 03:36:54 UTC
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