Indiana
Professional Licensing Agency
Michael J. Koufos
Dentistry Board - Ce Sponsor Dental
License number
98000656A
Date granted
03/02/2014
Date expires
03/02/2016
Class
Dentistry Board - Ce Sponsor Dental
Status
Active
Address
1630 45h Street, Munster IN 46321
indianalicensing.org
ID 24741970
LAST UPDATED 2024-03-01 05:26:45 UTC
LAST UPDATED 2024-03-01 05:26:45 UTC
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