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
LAST UPDATED 2024-03-25 02:16:44 UTC
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