Indiana
Professional Licensing Agency
Porter Portage Hospital-Lakeshore Urology
Radiology - Radiation Facility Medical
License number
XF200877
Date granted
03/14/2006
Date expires
02/22/2010
Class
Radiology - Radiation Facility Medical
Status
Closed Facility
Address
3630 Willowcreek Road, Suite 4, Portage IN 46368-5075
indianalicensing.org
ID 24944102
LAST UPDATED 2024-04-22 04:15:20 UTC
LAST UPDATED 2024-04-22 04:15:20 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.