License holder summary

Summit Pain Management is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Summit Pain Management is 2512 E. Dupont Road, Suite 200, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 11/20/2012 and expired on 10/03/2014.

Indiana

Professional Licensing Agency

Summit Pain Management
Radiology - Radiation Facility Medical
License number
XF201563
Date granted
11/20/2012
Date expires
10/03/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
2512 E. Dupont Road, Suite 200, Fort Wayne IN 46825
indianalicensing.org
ID 24942165
LAST UPDATED 2024-02-29 20:11:46 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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