Indiana
Professional Licensing Agency
Sarah E. Buck
Radiology Provisional Permit
License number
XP505071
Date granted
10/22/2013
Date expires
04/22/2014
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Pendleton IN 46064
indianalicensing.org
ID 12408604
LAST UPDATED 2024-04-09 15:10:54 UTC
LAST UPDATED 2024-04-09 15:10:54 UTC
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