License holder summary

Summit Spine & Sports Medicine, P.C. is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Summit Spine & Sports Medicine, P.C. is 3828 New Vision Drive, Fort Wayne IN 46845-1708. This licensed professional license is not current. The license was granted 06/09/2004 and expired on 03/08/2012.

Indiana

Professional Licensing Agency

Summit Spine & Sports Medicine, P.C.
Radiology - Radiation Facility Medical
License number
XF200382
Date granted
06/09/2004
Date expires
03/08/2012
Class
Radiology - Radiation Facility Medical
Status
Expired
Address
3828 New Vision Drive, Fort Wayne IN 46845-1708
indianalicensing.org
ID 24942163
LAST UPDATED 2024-04-25 16:13:03 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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