License holder summary

Lake Shore Foot and Ankle is a Radiology - Radiation Facility Podiatric licensed to practice in Indiana. The address on file for Lake Shore Foot and Ankle is 110 Ridge Road, Suite 12, Munster IN 46321-1520. This licensed professional license is not current. The license was granted 03/05/2002 and expired on 11/18/2007.

Indiana

Professional Licensing Agency

Lake Shore Foot and Ankle
Radiology - Radiation Facility Podiatric
License number
XF400145
Date granted
03/05/2002
Date expires
11/18/2007
Class
Radiology - Radiation Facility Podiatric
Status
Closed Facility
Address
110 Ridge Road, Suite 12, Munster IN 46321-1520
indianalicensing.org
ID 24946850
LAST UPDATED 2024-03-22 05:32:36 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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