License holder summary

Washington Square Pavilion is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Washington Square Pavilion is 10122 East 10th Street, Indianapolis IN 46229-2601. This licensed professional license is current. The license was granted 08/19/2003 and expired on 12/26/2014.

Indiana

Professional Licensing Agency

Washington Square Pavilion
Radiology - Radiation Facility Medical
License number
XF200054
Date granted
08/19/2003
Date expires
12/26/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
10122 East 10th Street, Indianapolis IN 46229-2601
indianalicensing.org
ID 24942968
LAST UPDATED 2024-04-11 20:02:28 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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