Indiana
Professional Licensing Agency
David Anthony Niemiec
Controlled Substance Registration - Dentist
License number
12009622B
Date granted
09/06/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
230 West 19th Street, Connersville IN 47331-2845
indianalicensing.org
ID 5088191
LAST UPDATED 2024-03-01 12:35:14 UTC
LAST UPDATED 2024-03-01 12:35:14 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.