License holder summary

Faye Marie Kostidis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Faye Marie Kostidis is Art of Dentistry, 1555 N. Cline Ave, Griffith IN 46319. This licensed professional license is current. The license was granted 07/29/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Faye Marie Kostidis
Controlled Substance Registration - Dentist
License number
12010629B
Date granted
07/29/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Art of Dentistry, 1555 N. Cline Ave, Griffith IN 46319
indianalicensing.org
ID 5099710
LAST UPDATED 2024-04-15 18:25:41 UTC

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