License holder summary

Richard T. Rosiecki is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Richard T. Rosiecki is 3101 Central Ave., Lake Station IN 46405. This licensed professional license is current. The license was granted 08/11/1987 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Richard T. Rosiecki
Controlled Substance Registration - Dentist
License number
12008933B
Date granted
08/11/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3101 Central Ave., Lake Station IN 46405
indianalicensing.org
ID 5108113
LAST UPDATED 2024-01-28 18:43:04 UTC

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