License holder summary

Lutheran Imaging at Lutheran Medical Group is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Lutheran Imaging at Lutheran Medical Group is 7916 West Jefferson Boulevard, Fort Wayne IN 46804-4138. This licensed professional license is not current. The license was granted 09/16/2005 and expired on 08/31/2010.

Indiana

Professional Licensing Agency

Lutheran Imaging at Lutheran Medical Group
Radiology - Radiation Facility Medical
License number
XF200881
Date granted
09/16/2005
Date expires
08/31/2010
Class
Radiology - Radiation Facility Medical
Status
Closed Facility
Address
7916 West Jefferson Boulevard, Fort Wayne IN 46804-4138
indianalicensing.org
ID 24942097
LAST UPDATED 2024-04-23 02:25:08 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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