License holder summary

South Bend Clinic Podiatry - Granger is a Radiology - Radiation Facility Podiatric licensed to practice in Indiana. The address on file for South Bend Clinic Podiatry - Granger is 14950 State Road 23, Granger IN 46530-5515. This licensed professional license is current. The license was granted 01/11/2006 and expired on 05/09/2015.

Indiana

Professional Licensing Agency

South Bend Clinic Podiatry - Granger
Radiology - Radiation Facility Podiatric
License number
XF400255
Date granted
01/11/2006
Date expires
05/09/2015
Class
Radiology - Radiation Facility Podiatric
Status
Active
Address
14950 State Road 23, Granger IN 46530-5515
indianalicensing.org
ID 24946388
LAST UPDATED 2024-05-16 11:45:32 UTC

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