Indiana
Professional Licensing Agency
Elm Road Family Medicine
Radiology - Radiation Facility Medical
License number
XF201303
Date granted
02/05/2008
Date expires
03/13/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
60101 Bodnar Blvd, Suite 100 Unit A, Mishawaka IN 46544-9339
indianalicensing.org
ID 24943580
LAST UPDATED 2024-05-09 07:05:02 UTC
LAST UPDATED 2024-05-09 07:05:02 UTC
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