License holder summary

TODD A RADIVAN is a Physician Assistant licensed to practice in Indiana. The address on file for TODD A RADIVAN is FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 02/23/1995 and expired on 06/30/1998.

Indiana

Professional Licensing Agency

TODD A RADIVAN
Physician Assistant
License number
10000234A
Date granted
02/23/1995
Date expires
06/30/1998
Class
Physician Assistant
Status
Expired
Address
FORT WAYNE IN 46805
indianalicensing.org
ID 8389995
LAST UPDATED 2026-03-27 07:12:47 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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