License holder summary

STANLEY M KOSCIELSKI is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for STANLEY M KOSCIELSKI is 418 SOUTH LOMBARDY DRIVE, SOUTH BEND IN 46619. This licensed professional license is not current. The license was granted 11/30/1985 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

STANLEY M KOSCIELSKI
Controlled Substance Registration-Osteopathic Physician
License number
02000249B
Date granted
11/30/1985
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
418 SOUTH LOMBARDY DRIVE, SOUTH BEND IN 46619
indianalicensing.org
ID 5813699
LAST UPDATED 2024-03-13 21:29:32 UTC

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