License holder summary

Breast Diagnostic Center - North is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Breast Diagnostic Center - North is 11123 Parkview Plaza Drive, Suite 201, Fort Wayne IN 46845-1701. This licensed professional license is current. The license was granted 11/18/2005 and expired on 05/05/2015.

Indiana

Professional Licensing Agency

Breast Diagnostic Center - North
Radiology - Radiation Facility Medical
License number
XF201114
Date granted
11/18/2005
Date expires
05/05/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
11123 Parkview Plaza Drive, Suite 201, Fort Wayne IN 46845-1701
indianalicensing.org
ID 24942018
LAST UPDATED 2024-04-29 15:47:33 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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