License holder summary

V.A. Northern Indiana Health Care System-Ft.Wayne is a Radiology - Radiation Facility Hospital licensed to practice in Indiana. The address on file for V.A. Northern Indiana Health Care System-Ft.Wayne is 2121 Lake Avenue, Fort Wayne IN 46805-5100. This licensed professional license is current. The license was granted 12/20/2007 and expired on 01/30/2015.

Indiana

Professional Licensing Agency

V.A. Northern Indiana Health Care System-Ft.Wayne
Radiology - Radiation Facility Hospital
License number
XF100173
Date granted
12/20/2007
Date expires
01/30/2015
Class
Radiology - Radiation Facility Hospital
Status
Active
Address
2121 Lake Avenue, Fort Wayne IN 46805-5100
indianalicensing.org
ID 24938079
LAST UPDATED 2024-03-29 16:15:43 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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