License holder summary

Willowcreek Outpatient Center is a Radiology - Radiation Facility Medical licensed to practice in Indiana. The address on file for Willowcreek Outpatient Center is 3170 Willowcreek Road, Portage IN 46368-4424. This licensed professional license is current. The license was granted 11/21/2005 and expired on 11/19/2014.

Indiana

Professional Licensing Agency

Willowcreek Outpatient Center
Radiology - Radiation Facility Medical
License number
XF200342
Date granted
11/21/2005
Date expires
11/19/2014
Class
Radiology - Radiation Facility Medical
Status
Active
Address
3170 Willowcreek Road, Portage IN 46368-4424
indianalicensing.org
ID 24944103
LAST UPDATED 2024-02-07 19:59:06 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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