License holder summary

Bristol Street Pediatrics is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Bristol Street Pediatrics is 1627 East Bristol Street, Elkhart IN 46514-3817. This licensed professional license is current. The license was granted 01/27/2005 and expired on 09/26/2014.

Indiana

Professional Licensing Agency

Bristol Street Pediatrics
Radiology - Radiation Facility Medical
License number
XF200696
Date granted
01/27/2005
Date expires
09/26/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
1627 East Bristol Street, Elkhart IN 46514-3817
indianalicensing.org
ID 24941745
LAST UPDATED 2024-03-07 19:14:18 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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