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
LAST UPDATED 2024-05-02 08:02:27 UTC
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