Indiana
Professional Licensing Agency
Physical Medicine Consultants, LLC
Radiology - Radiation Facility Medical
License number
XF201322
Date granted
08/05/2008
Date expires
12/18/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
7910 West Jefferson Boulevard, Suite 300, Fort Wayne IN 46804-4159
indianalicensing.org
ID 24942144
LAST UPDATED 2026-03-23 04:37:39 UTC
LAST UPDATED 2026-03-23 04:37:39 UTC
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