Indiana
Professional Licensing Agency
Joseph Francis Coccellato
Controlled Substance Registration - Dentist
License number
12007592B
Date granted
06/20/1978
Date expires
08/31/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
521 EAST MONROE STREET, SOUTH BEND IN 46601
indianalicensing.org
ID 5123168
LAST UPDATED 2024-03-28 13:00:35 UTC
LAST UPDATED 2024-03-28 13:00:35 UTC
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