Indiana
Professional Licensing Agency
Jack Bartoszek
Controlled Substance Registration-Osteopathic Physician
License number
02001105B
Date granted
07/03/1989
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
615 Fulmer Road, Mishawaka IN 46544
indianalicensing.org
ID 5801542
LAST UPDATED 2024-04-26 14:01:35 UTC
LAST UPDATED 2024-04-26 14:01:35 UTC
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