License holder summary

Community Medical Center of Shipshewana is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Community Medical Center of Shipshewana is Box 187, State Road 5 South, Shipshewana IN 46565-0187. This licensed professional license is not current. The license was granted 09/22/2005 and expired on 09/22/2008.

Indiana

Professional Licensing Agency

Community Medical Center of Shipshewana
Radiology - Radiation Facility Medical
License number
XF200773
Date granted
09/22/2005
Date expires
09/22/2008
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
Box 187, State Road 5 South, Shipshewana IN 46565-0187
indianalicensing.org
ID 24944337
LAST UPDATED 2024-03-13 13:22:11 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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