License holder summary

DAVID J MIKOLAJCZAK is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for DAVID J MIKOLAJCZAK is GOOD SAMARITAN HOSP, 520 SOUTH SEVENTH STREET, VINCENNES IN 47591. This licensed professional license is not current. The license was granted 05/11/1988 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

DAVID J MIKOLAJCZAK
Controlled Substance Registration-Osteopathic Physician
License number
02000989B
Date granted
05/11/1988
Date expires
06/30/1989
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
GOOD SAMARITAN HOSP, 520 SOUTH SEVENTH STREET, VINCENNES IN 47591
indianalicensing.org
ID 5815017
LAST UPDATED 2024-02-11 15:58:33 UTC

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