License holder summary

George Thomas Jancosek is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for George Thomas Jancosek is 1244 119th Street, Whiting IN 46394-1642. This licensed professional license is not current. The license was granted 01/18/1988 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

George Thomas Jancosek
Controlled Substance Registration - Dentist
License number
12005409B
Date granted
01/18/1988
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1244 119th Street, Whiting IN 46394-1642
indianalicensing.org
ID 5128171
LAST UPDATED 2024-03-08 15:26:00 UTC

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