Indiana
Professional Licensing Agency
Michael James Koufos
Controlled Substance Registration - Dentist
License number
12008801B
Date granted
07/25/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Orthodontics Specialists, PC, 1630 45th Street #45th Street #101, Munster IN 46321
indianalicensing.org
ID 5114899
LAST UPDATED 2024-04-16 14:14:32 UTC
LAST UPDATED 2024-04-16 14:14:32 UTC
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