Providence Medical Group
Radiology - Radiation Machine Medical
Indiana XM002779 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 The license is no longer active.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 07/07/2008
LICENSE DETAILS
- License Number: XM002779
- Category: Radiation Machine - Medical
- Status: Closed Facility
- Date Granted: 07/07/2004 (almost 20 years ago)
- Expiry Date: 07/07/2008 (almost 16 years ago)
LOCATIONS
A Address
Tube # - 1A, Terre Haute IN 47804-1899