Providence Medical Group
Radiology - Radiation Facility Medical
Indiana XF201232 Expired
This Indiana license was held by Providence Medical Group. The license is no longer active. It was granted on 11/28/2006 and expired on 10/28/2012
LICENSE DETAILS
- License Number: XF201232
- Category: Radiation Facility - Medical
- Status: Expired
- Date Granted: 11/28/2006 (over 17 years ago)
- Expiry Date: 10/28/2012 (over 11 years ago)
LOCATIONS
A Address
4949 East Poplar Drive, Terre Haute IN 47803