Indiana
Professional Licensing Agency
Theodore Anthony Kostiuk, IV
Controlled Substance Registration-Osteopathic Physician
License number
02004389B
Date granted
03/11/2014
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Orthopaedics Indianapolis, Inc, 8450 Northwest Blvd, Indianapolis IN 46278-1381
indianalicensing.org
ID 27695079
LAST UPDATED 2024-04-26 20:02:54 UTC
LAST UPDATED 2024-04-26 20:02:54 UTC
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