Joseph B Koscielniak, Jr
Controlled Substance Registration - Physician
Indiana 01028974B Active
This Indiana license is held by Joseph B Koscielniak, Jr. The license is currently active. It was granted on 05/31/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01028974B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/31/1986 (almost 39 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
5587 BROADWAY, MERRILLVILLE IN 46410
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