License holder summary

Miroslaw A Foltyniak is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Miroslaw A Foltyniak is 213 FAIRVIEW BOULEVARD, KENDALLVILLE IN 46755. This licensed professional license is current. The license was granted 11/13/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Miroslaw A Foltyniak
Controlled Substance Registration - Physician
License number
01038834B
Date granted
11/13/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
213 FAIRVIEW BOULEVARD, KENDALLVILLE IN 46755
indianalicensing.org
ID 5875007
LAST UPDATED 2024-04-03 08:25:04 UTC

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