Timothy Anthony Buckley
ActiveMichigan license EMC0000584
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0000584
- Status
- Active
- First issued
- September 24, 2020
- Expires
- September 24, 2029
- License holder
- Timothy Anthony Buckley
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
738 N Oak Park Ave
Oak Park, IL 60302
Oak Park, IL 60302