License holder summary

Churubusco Family Medicine is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Churubusco Family Medicine is 202 West Whitley Street, Churubusco IN 46723-1720. This licensed professional license is not current. The license was granted 09/15/2005 and expired on 02/25/2011.

Indiana

Professional Licensing Agency

Churubusco Family Medicine
Radiology - Radiation Facility Medical
License number
XF200261
Date granted
09/15/2005
Date expires
02/25/2011
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
202 West Whitley Street, Churubusco IN 46723-1720
indianalicensing.org
ID 24941480
LAST UPDATED 2024-02-24 17:05:55 UTC

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