Indiana
Professional Licensing Agency
IU Health Goshen Physicians - Middlebury
Radiology - Radiation Facility Medical
License number
XF200292
Date granted
04/28/2005
Date expires
05/20/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
226 West US 20, Middlebury IN 46540-9713
indianalicensing.org
ID 24943548
LAST UPDATED 2026-03-19 12:03:02 UTC
LAST UPDATED 2026-03-19 12:03:02 UTC
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