Indiana
Professional Licensing Agency
Reconstructive Foot and Ankle Specialists
Radiology - Radiation Facility Podiatric
License number
XF400289
Date granted
06/06/2007
Date expires
02/22/2015
Class
Radiology - Radiation Facility Podiatric
Status
Active
Address
7910 W. Jefferson Blvd, Suite 300, Fort Wayne IN 46804-4159
indianalicensing.org
ID 24946327
LAST UPDATED 2026-05-07 08:54:42 UTC
LAST UPDATED 2026-05-07 08:54:42 UTC
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