License holder summary

Stanislawa K. Koczorowska is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Stanislawa K. Koczorowska is 727 East North Street, Kendallville IN 46755. This licensed professional license is current. The license was granted 04/27/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Stanislawa K. Koczorowska
Controlled Substance Registration - Physician
License number
01033960B
Date granted
04/27/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
727 East North Street, Kendallville IN 46755
indianalicensing.org
ID 5875084
LAST UPDATED 2024-05-02 08:02:27 UTC

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