Fort Wayne Physical Medicine

Radiology - Radiation Facility Medical

Indiana  XF201026   Active

This Indiana license is held by Fort Wayne Physical Medicine. The license is currently active. It was granted on 11/16/2005 and expired on 09/18/2015

LICENSE DETAILS

  • License Number: XF201026
  • Category: Radiation Facility - Medical
  • Status: Active
  • Date Granted: 11/16/2005 (over 19 years ago)
  • Expiry Date: 09/18/2015 (over 9 years ago)

LOCATIONS

A Address

5750 Coventry Lane, Suite 101, Fort Wayne IN 46804-7166