License holder summary

Andy Koultourides is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Andy Koultourides is 619 RIDGE RAOD, MUNSTER IN 46321. This licensed professional license is current. The license was granted 08/02/1990 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Andy Koultourides
Controlled Substance Registration - Dentist
License number
12009245B
Date granted
08/02/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
619 RIDGE RAOD, MUNSTER IN 46321
indianalicensing.org
ID 5114523
LAST UPDATED 2024-02-07 13:31:26 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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