License holder summary

Indiana Pain & Spine Clinic is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Indiana Pain & Spine Clinic is 53830 Generations Drive, Suite 110, South Bend IN 46635. This licensed professional license is current. The license was granted 09/19/2008 and expired on 07/22/2015.

Indiana

Professional Licensing Agency

Indiana Pain & Spine Clinic
Radiology - Radiation Facility Medical
License number
XF201335
Date granted
09/19/2008
Date expires
07/22/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
53830 Generations Drive, Suite 110, South Bend IN 46635
indianalicensing.org
ID 24944369
LAST UPDATED 2024-02-24 08:11:34 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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