License holder summary

Portage Foot Clinic is a Radiology - Radiation Facility Podiatric licensed to practice in Indiana. The address on file for Portage Foot Clinic is 1608 Portage Avenue, South Bend IN 46616-1740. This licensed professional license is current. The license was granted 10/20/2005 and expired on 10/02/2015.

Indiana

Professional Licensing Agency

Portage Foot Clinic
Radiology - Radiation Facility Podiatric
License number
XF400064
Date granted
10/20/2005
Date expires
10/02/2015
Class
Radiology - Radiation Facility Podiatric
Status
Active
Address
1608 Portage Avenue, South Bend IN 46616-1740
indianalicensing.org
ID 24947205
LAST UPDATED 2024-04-20 15:29:56 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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