Indiana
Professional Licensing Agency
John George Kostides
Controlled Substance Registration - Dentist
License number
12009244B
Date granted
06/29/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9205 Broadway Suite A, Merrillville IN 46410
indianalicensing.org
ID 5111053
LAST UPDATED 2024-02-23 21:33:22 UTC
LAST UPDATED 2024-02-23 21:33:22 UTC
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