Providence Medical Group
Radiology - Radiation Facility Medical
Indiana XF200178 Closed Facility
This Indiana license was held by Providence Medical Group. The license is no longer active. It was granted on 07/07/2004 and expired on 12/07/2007
LICENSE DETAILS
- License Number: XF200178
- Category: Radiation Facility - Medical
- Status: Closed Facility
- Date Granted: 07/07/2004 (almost 20 years ago)
- Expiry Date: 12/07/2007 (over 16 years ago)
LOCATIONS
A Address
Kathy Johnson, RT, 2100 North 6 1/2 Street, Terre Haute IN 47804-1899