License holder summary

Northern Lakes Orthopaedics & Sports Medicine is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Northern Lakes Orthopaedics & Sports Medicine is 3505 Lake City Highway, Warsaw IN 46580-3942. This licensed professional license is current. The license was granted 08/01/2005 and expired on 01/13/2015.

Indiana

Professional Licensing Agency

Northern Lakes Orthopaedics & Sports Medicine
Radiology - Radiation Facility Medical
License number
XF200334
Date granted
08/01/2005
Date expires
01/13/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
3505 Lake City Highway, Warsaw IN 46580-3942
indianalicensing.org
ID 24944705
LAST UPDATED 2024-03-26 20:07:27 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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