Indiana
Professional Licensing Agency
David Chester Koronkiewicz
Controlled Substance Registration-Osteopathic Physician
License number
02001411B
Date granted
06/10/1993
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Goshen Health System dba PrimeCare Physician Network, 1824 Dorchester Court, Suite A, Goshen IN 46526
indianalicensing.org
ID 5801499
LAST UPDATED 2024-03-04 11:33:59 UTC
LAST UPDATED 2024-03-04 11:33:59 UTC
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