Indiana
Professional Licensing Agency
Michael David Buckwalter
Medical Residency Permit
License number
11016346A
Date granted
06/30/2011
Date expires
06/30/2014
Class
Medical Residency Permit
Status
Superceded
Address
Goshen IN 46526
indianalicensing.org
ID 5980784
LAST UPDATED 2024-03-07 12:48:42 UTC
LAST UPDATED 2024-03-07 12:48:42 UTC
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