Indiana
Professional Licensing Agency
Ronald Bartosiak
Controlled Substance Registration - Dentist
License number
12007445B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
622 Lincoln Avenue, Goshen IN 46526
indianalicensing.org
ID 5098153
LAST UPDATED 2024-04-23 10:37:02 UTC
LAST UPDATED 2024-04-23 10:37:02 UTC
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