Timothy Mark Pivonka
Dentist
Indiana 12009825A Expired
This Indiana license was held by Timothy Mark Pivonka. The license is no longer active. It was granted on 01/10/1996 and expired on 03/01/2000
LICENSE DETAILS
- License Number: 12009825A
- Category: Dentist
- Status: Expired
- Date Granted: 01/10/1996 (over 29 years ago)
- Expiry Date: 03/01/2000 (about 25 years ago)
LOCATIONS
A Address
Elizabethtown KY 40121