Indiana
Professional Licensing Agency
Summit Spine & Sports Medicine, P.C.
Radiology - Radiation Facility Medical
License number
XF200382
Date granted
06/09/2004
Date expires
03/08/2012
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
3828 New Vision Drive, Fort Wayne IN 46845-1708
indianalicensing.org
ID 24942163
LAST UPDATED 2024-04-13 15:32:55 UTC
LAST UPDATED 2024-04-13 15:32:55 UTC
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