Indiana
Professional Licensing Agency
Primary Care Center
Radiology - Radiation Facility Medical
License number
XF200295
Date granted
09/23/2005
Date expires
04/08/2014
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
1002 Wishard Boulevard, Indianapolis IN 46202-2859
indianalicensing.org
ID 24942881
LAST UPDATED 2026-05-11 09:09:57 UTC
LAST UPDATED 2026-05-11 09:09:57 UTC
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