License holder summary

GRAZYNA LOS PIEKOS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GRAZYNA LOS PIEKOS is 1479 E 84TH PLACE, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 09/29/1997 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

GRAZYNA LOS PIEKOS
Controlled Substance Registration - Physician
License number
01045890B
Date granted
09/29/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1479 E 84TH PLACE, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890337
LAST UPDATED 2024-04-01 03:15:32 UTC

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