License holder summary

Samantha A. Matusik is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Samantha A. Matusik is Dyer IN 46311. This licensed professional license is not current. The license was granted 05/08/2013 and expired on 11/08/2013.

Indiana

Professional Licensing Agency

Samantha A. Matusik
Radiology Provisional Permit
License number
XP504739
Date granted
05/08/2013
Date expires
11/08/2013
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Dyer IN 46311
indianalicensing.org
ID 8490256
LAST UPDATED 2024-04-16 19:39:39 UTC

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