License holder summary

Adam Sergiwa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Adam Sergiwa is Pam Kukla, 1300 State Street, La Porte IN 46350. This licensed professional license is not current. The license was granted 08/27/1998 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Adam Sergiwa
Controlled Substance Registration - Physician
License number
01049378B
Date granted
08/27/1998
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Pam Kukla, 1300 State Street, La Porte IN 46350
indianalicensing.org
ID 5877602
LAST UPDATED 2024-03-12 20:20:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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