Virgil Michael Wozniak
Controlled Substance Registration - Dentist
Indiana 12007401B Expired
This Indiana license was held by Virgil Michael Wozniak. The license is no longer active. It was granted on 01/31/1985 and expired on 03/01/2002
LICENSE DETAILS
- License Number: 12007401B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/31/1985 (over 39 years ago)
- Expiry Date: 03/01/2002 (about 22 years ago)
LOCATIONS
A Address
5457 CENTRAL AVENUE, PORTAGE IN 46368