License holder summary

Midwest Pain & Spine is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Midwest Pain & Spine is 1115 N. Ronald Reagan Parkway, Suite 235, Avon IN 46123-6911. This licensed professional license is current. The license was granted 09/27/2005 and expired on 10/01/2014.

Indiana

Professional Licensing Agency

Midwest Pain & Spine
Radiology - Radiation Facility Medical
License number
XF201165
Date granted
09/27/2005
Date expires
10/01/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
1115 N. Ronald Reagan Parkway, Suite 235, Avon IN 46123-6911
indianalicensing.org
ID 24941174
LAST UPDATED 2024-03-28 17:05:39 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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