Michael Louis Iczkovitz
Controlled Substance Registration - Dentist
Indiana 12008664B Active
This Indiana license is held by Michael Louis Iczkovitz. The license is currently active. It was granted on 01/31/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12008664B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 01/31/1986 (over 39 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
3303 Trier Road, Fort Wayne IN 46815-4768
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