License holder summary

NEIU Prostate Cancer Center is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for NEIU Prostate Cancer Center is 10307 Dupont Ciccle Drive West, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 12/29/2008 and expired on 12/09/2014.

Indiana

Professional Licensing Agency

NEIU Prostate Cancer Center
Radiology - Radiation Facility Medical
License number
XF201355
Date granted
12/29/2008
Date expires
12/09/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
10307 Dupont Ciccle Drive West, Fort Wayne IN 46825
indianalicensing.org
ID 24942110
LAST UPDATED 2026-03-28 07:11:30 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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