License holder summary

STANLEY M KOSCIELSKI DO is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for STANLEY M KOSCIELSKI DO is 418 S LOMBARDY DRIVE, SOUTH BEND IN 46619. This licensed professional license is not current. The license was granted 10/26/1977 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

STANLEY M KOSCIELSKI DO
Medical Licensing Board - Medical Corporation
License number
50001283A
Date granted
10/26/1977
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
418 S LOMBARDY DRIVE, SOUTH BEND IN 46619
indianalicensing.org
ID 24834219
LAST UPDATED 2024-04-16 14:12:02 UTC

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