Indiana
Professional Licensing Agency
George A. Kopko
Controlled Substance Registration - Dentist
License number
12007159B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
50 South St Rd 135, P O BOX 608, BARGERSVILLE IN 46106
indianalicensing.org
ID 5082166
LAST UPDATED 2024-03-13 15:30:32 UTC
LAST UPDATED 2024-03-13 15:30:32 UTC
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