Providence Medical Group

Radiology - Radiation Facility Medical

Indiana  XF200872   Expired

This Indiana license was held by Providence Medical Group. The license is no longer active. It was granted on 02/04/2000 and expired on 02/03/2001

LICENSE DETAILS

  • License Number: XF200872
  • Category: Radiation Facility - Medical
  • Status: Expired
  • Date Granted: 02/04/2000 (over 24 years ago)
  • Expiry Date: 02/03/2001 (over 23 years ago)

LOCATIONS

A Address

1233 Maple Avenue, Terre Haute IN 47804-3011