Indiana
Professional Licensing Agency
CMH Physician Services-Fort Wayne
Radiology - Radiation Facility Medical
License number
XF201475
Date granted
03/08/2011
Date expires
03/08/2013
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
3828 New Vision Drive, Fort Wayne IN 46845
indianalicensing.org
ID 24942043
LAST UPDATED 2024-02-25 13:05:08 UTC
LAST UPDATED 2024-02-25 13:05:08 UTC
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