st. clare medical center, amendment request for license no ...wed-09feb ai standard overnight trk#...
TRANSCRIPT
St.Clare MEDICAL CENTER
February 4, 201 1
Materials Licensing Branch U.S. Nuclear Regulatory Commission, Region Ill 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352
License Number: 13-1 6622-01
To Whom It May Concern:
This letter will provide notice to the Nuclear Regulatory Commission that the following names need to removed as authorized users from the above referenced license number effective immediately:
Fred McFall, M.D. Laura Dugan, M.D. David Brown, M.D.
If you have questions regarding this request, please contact either Adriana Basey, Radiation Safety Officer, at (765) 364-31 71 or via email at Adriana. [email protected] or the hospital’s consulting physicist, Erin Bell, at (877) 321-2207 extension 342 or via email at [email protected]. Thank you for your prompt attention to this letter.
James M. Siemers Executive Director
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From: (765) 364-3103 Jeanetta Allen St Clare Medical Center 1710 Lafayette Road
Crawfordsville, IN 47933
Origin ID: LAFA
SHIP TO: (630) 829-9500 BILL SENDER US Nuclear Regulatory Commission Materials Llcensing Branch 2443 WARRENVILLE RD STE 210
LISLE, IL 60532
Page 1 of 1
;hip Date. OBFEBI 1 \ctWgt: 1.0 LB :AD: 961 2696ANET3130
Ielivery Address Bar Code
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WED-09FEB A I STANDARD OVERNIGHT
TRK# 7944 0188 9420 @
NT BDFA 60532
ORD IL-US
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