License holder summary

Lutheran Medical Group- Dupont Road is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Lutheran Medical Group- Dupont Road is 2516 East Dupont Road, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 02/04/2014 and expired on 02/04/2015.

Indiana

Professional Licensing Agency

Lutheran Medical Group- Dupont Road
Radiology - Radiation Facility Medical
License number
XF201682
Date granted
02/04/2014
Date expires
02/04/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
2516 East Dupont Road, Fort Wayne IN 46825
indianalicensing.org
ID 24942099
LAST UPDATED 2024-05-19 15:33:19 UTC

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