License holder summary

THEODORE J KUBIAK is a Physician Assistant licensed to practice in Indiana. The address on file for THEODORE J KUBIAK is RICHMOND IN 47374. This licensed professional license is not current. The license was granted 11/06/1978 and expired on 06/30/1982.

Indiana

Professional Licensing Agency

THEODORE J KUBIAK
Physician Assistant
License number
10000010A
Date granted
11/06/1978
Date expires
06/30/1982
Class
Physician Assistant
Status
Expired
Address
RICHMOND IN 47374
indianalicensing.org
ID 8391569
LAST UPDATED 2024-04-07 23:52:37 UTC

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