Indiana
Professional Licensing Agency
Fort Wayne Interventional Pain Management
Radiology - Radiation Facility Medical
License number
XF201676
Date granted
01/07/2014
Date expires
01/07/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
2510 E. Dupont Road, Suite 115, Fort Wayne IN 46825
indianalicensing.org
ID 24942050
LAST UPDATED 2024-03-06 19:47:54 UTC
LAST UPDATED 2024-03-06 19:47:54 UTC
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