License holder summary

Fort Wayne Neurological Center is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Fort Wayne Neurological Center is 2622 Lake Avenue, Fort Wayne IN 46805-5407. This licensed professional license is not current. The license was granted 11/21/2002 and expired on 12/17/2003.

Indiana

Professional Licensing Agency

Fort Wayne Neurological Center
Radiology - Radiation Facility Medical
License number
XF200775
Date granted
11/21/2002
Date expires
12/17/2003
Class
Radiology - Radiation Facility Medical
Status
Closed Facility
Address
2622 Lake Avenue, Fort Wayne IN 46805-5407
indianalicensing.org
ID 24942048
LAST UPDATED 2024-04-08 09:19:43 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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