License holder summary

Richard Rosiecki, D.D.S. is a Radiology - Radiation Facility Dental licensed to practice in Indiana. The address on file for Richard Rosiecki, D.D.S. is 3101 Central Avenue, Lake Station IN 46405-2209. This licensed professional license is current. The license was granted 11/18/2003 and expired on 05/02/2016.

Indiana

Professional Licensing Agency

Richard Rosiecki, D.D.S.
Radiology - Radiation Facility Dental
License number
XF902685
Date granted
11/18/2003
Date expires
05/02/2016
Class
Radiology - Radiation Facility Dental
Status
Active
Address
3101 Central Avenue, Lake Station IN 46405-2209
indianalicensing.org
ID 24934233
LAST UPDATED 2024-04-17 05:03:48 UTC

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