License holder summary

Michael John Buczolich, Jr. is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael John Buczolich, Jr. is Buczolich Family Dentistry PC, 3533 McKinley Avenue, South Bend IN 46615-3134. This licensed professional license is current. The license was granted 11/17/1993 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael John Buczolich, Jr.
Controlled Substance Registration - Dentist
License number
12009618B
Date granted
11/17/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Buczolich Family Dentistry PC, 3533 McKinley Avenue, South Bend IN 46615-3134
indianalicensing.org
ID 5123279
LAST UPDATED 2024-03-16 11:17:11 UTC

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