License holder summary

Jon Kenneth Kostelic is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jon Kenneth Kostelic is ST ANTHONY MEDICAL CENTER, 1201 SOUTH MAIN STREET, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 10/05/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Jon Kenneth Kostelic
Controlled Substance Registration - Physician
License number
01043892B
Date granted
10/05/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEDICAL CENTER, 1201 SOUTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5841275
LAST UPDATED 2024-04-23 04:13:13 UTC

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