License holder summary

Dupont Hospital Ambulatory Surgery is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Dupont Hospital Ambulatory Surgery is 2510 East Dupont Road, Suite 130, Fort Wayne IN 46825-1603. This licensed professional license is current. The license was granted 08/11/2004 and expired on 09/20/2014.

Indiana

Professional Licensing Agency

Dupont Hospital Ambulatory Surgery
Radiology - Radiation Facility Medical
License number
XF201013
Date granted
08/11/2004
Date expires
09/20/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
2510 East Dupont Road, Suite 130, Fort Wayne IN 46825-1603
indianalicensing.org
ID 24942034
LAST UPDATED 2024-02-15 19:00:39 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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