License holder summary

Northside ENT Physician Group is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Northside ENT Physician Group is 12065 Old Meridian Street, Suite 205, Carmel IN 46032-8772.

Indiana

Professional Licensing Agency

Northside ENT Physician Group
Radiology - Radiation Facility Medical
License number
XF201167
Date expires
03/15/2012
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
12065 Old Meridian Street, Suite 205, Carmel IN 46032-8772
indianalicensing.org
ID 24941422
LAST UPDATED 2024-03-02 15:56:13 UTC

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