License holder summary

Walnut Street Medical Pavillion is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Walnut Street Medical Pavillion is 605 North Walnut, North Manchester IN 46962-1857. This licensed professional license is current. The license was granted 05/25/2005 and expired on 01/07/2015.

Indiana

Professional Licensing Agency

Walnut Street Medical Pavillion
Radiology - Radiation Facility Medical
License number
XF201074
Date granted
05/25/2005
Date expires
01/07/2015
Class
Radiology - Radiation Facility Medical
Status
Active
Address
605 North Walnut, North Manchester IN 46962-1857
indianalicensing.org
ID 24943942
LAST UPDATED 2024-04-02 16:14:48 UTC

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