License holder summary

Fairhaven Obstertics & Gynecology, Inc. is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Fairhaven Obstertics & Gynecology, Inc. is 1111 Lighthouse Lane, Goshen IN 46526-3824. This licensed professional license is not current. The license was granted 12/21/2000 and expired on 02/18/2011.

Indiana

Professional Licensing Agency

Fairhaven Obstertics & Gynecology, Inc.
Radiology - Radiation Facility Medical
License number
XF200746
Date granted
12/21/2000
Date expires
02/18/2011
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
1111 Lighthouse Lane, Goshen IN 46526-3824
indianalicensing.org
ID 24942286
LAST UPDATED 2024-04-07 23:57:14 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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