License holder summary

FT WAYNE RADIOLOGY ASSOC is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for FT WAYNE RADIOLOGY ASSOC is P O BOX 5602, 2414 EAST STATE SUITE 200, FORT WAYNE IN 46895. This licensed professional license is not current. The license was granted 09/24/1970 and expired on 01/31/2000.

Indiana

Professional Licensing Agency

FT WAYNE RADIOLOGY ASSOC
Medical Licensing Board - Medical Corporation
License number
50000220A
Date granted
09/24/1970
Date expires
01/31/2000
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
P O BOX 5602, 2414 EAST STATE SUITE 200, FORT WAYNE IN 46895
indianalicensing.org
ID 24826632
LAST UPDATED 2024-05-18 18:14:54 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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