License holder summary

O. Wickstrom, M.D. is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for O. Wickstrom, M.D. is 2360 National Road, Columbus IN 47201-3797. This licensed professional license is not current. The license was granted 12/01/2005 and expired on 11/18/2008.

Indiana

Professional Licensing Agency

O. Wickstrom, M.D.
Radiology - Radiation Facility Medical
License number
XF200014
Date granted
12/01/2005
Date expires
11/18/2008
Class
Radiology - Radiation Facility Medical
Status
Closed Facility
Address
2360 National Road, Columbus IN 47201-3797
indianalicensing.org
ID 24941542
LAST UPDATED 2024-04-23 19:27:16 UTC

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