License holder summary

Northeast Foot & Ankle Clinic is a Radiology - Radiation Facility Podiatric licensed to practice in Indiana. The address on file for Northeast Foot & Ankle Clinic is 2510 E. Dupont Road, Suite 234, Fort Wayne IN 46825-1603. This licensed professional license is current. The license was granted 08/31/2005 and expired on 06/17/2015.

Indiana

Professional Licensing Agency

Northeast Foot & Ankle Clinic
Radiology - Radiation Facility Podiatric
License number
XF400009
Date granted
08/31/2005
Date expires
06/17/2015
Class
Radiology - Radiation Facility Podiatric
Status
Active
Address
2510 E. Dupont Road, Suite 234, Fort Wayne IN 46825-1603
indianalicensing.org
ID 24946329
LAST UPDATED 2024-05-08 16:02:30 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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