Indiana
Professional Licensing Agency
Providence Medical Group
Radiology - Radiation Facility Medical
License number
XF200548
Date granted
09/24/2003
Class
Radiology - Radiation Facility Medical
Status
Active
Address
2723 S. 7th Street, Suite G, Terre Haute IN 47802-3558
indianalicensing.org
ID 24944558
LAST UPDATED 2024-03-21 18:23:07 UTC
LAST UPDATED 2024-03-21 18:23:07 UTC
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