License holder summary

VA Community Based Outpatient Clinic is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for VA Community Based Outpatient Clinic is 455 South Landmark Avenue, Bloomington IN 47403-5004. This licensed professional license is current. The license was granted 12/15/2005 and expired on 10/24/2015.

Indiana

Professional Licensing Agency

VA Community Based Outpatient Clinic
Radiology - Radiation Facility Medical
License number
XF200024
Date granted
12/15/2005
Date expires
10/24/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
455 South Landmark Avenue, Bloomington IN 47403-5004
indianalicensing.org
ID 24941225
LAST UPDATED 2024-04-10 00:14:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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