License holder summary

Fort Wayne Orthopaedics - Dupont is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Fort Wayne Orthopaedics - Dupont is Alissa Stalter R.T., 2512 East Dupont Road, Suite 110, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 08/30/2005 and expired on 09/30/2014.

Indiana

Professional Licensing Agency

Fort Wayne Orthopaedics - Dupont
Radiology - Radiation Facility Medical
License number
XF200873
Date granted
08/30/2005
Date expires
09/30/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
Alissa Stalter R.T., 2512 East Dupont Road, Suite 110, Fort Wayne IN 46825
indianalicensing.org
ID 24942051
LAST UPDATED 2024-04-11 07:25:47 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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