Indiana
Professional Licensing Agency
Jean F. Piegza
Controlled Substance Registration - Dentist
License number
12009177B
Date granted
03/14/1990
Date expires
03/01/2006
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1332 119TH STREET, WHITING IN 46394
indianalicensing.org
ID 5128190
LAST UPDATED 2024-04-01 02:44:18 UTC
LAST UPDATED 2024-04-01 02:44:18 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.