License holder summary

Daniel Stephen Koscielski is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Daniel Stephen Koscielski is St. Anthony Memorial, 301 N. Homer Street, Michigan City IN 46360. This licensed professional license is current. The license was granted 12/23/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Daniel Stephen Koscielski
Controlled Substance Registration - Physician
License number
01067635B
Date granted
12/23/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Memorial, 301 N. Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5892417
LAST UPDATED 2024-03-25 02:16:44 UTC

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