License holder summary

Northeast Indiana Urology, P.C. is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Northeast Indiana Urology, P.C. is Meredith Jacobs, 10307 Dupont Circle Dr. West, Suite B, Fort Wayne IN 46825-1675. This licensed professional license is current. The license was granted 06/01/2005 and expired on 02/28/2015.

Indiana

Professional Licensing Agency

Northeast Indiana Urology, P.C.
Radiology - Radiation Facility Medical
License number
XF200521
Date granted
06/01/2005
Date expires
02/28/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
Meredith Jacobs, 10307 Dupont Circle Dr. West, Suite B, Fort Wayne IN 46825-1675
indianalicensing.org
ID 24942109
LAST UPDATED 2024-02-21 07:04:58 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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