Indiana
Professional Licensing Agency
Family Medicine Center
Radiology - Radiation Facility Medical
License number
XF200719
Date granted
11/22/2005
Date expires
08/16/2014
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
2120 Rieth Blvd., Suite A, Goshen IN 46527-0579
indianalicensing.org
ID 24942288
LAST UPDATED 2024-05-02 21:02:28 UTC
LAST UPDATED 2024-05-02 21:02:28 UTC
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