License holder summary

Timothy Mark Pivonka is a Dentist licensed to practice in Indiana. The address on file for Timothy Mark Pivonka is Elizabethtown KY 40121. This licensed professional license is not current. The license was granted 01/10/1996 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Timothy Mark Pivonka
Dentist
License number
12009825A
Date granted
01/10/1996
Date expires
03/01/2000
Class
Dentist
Status
Expired
Address
Elizabethtown KY 40121
indianalicensing.org
ID 5281672
LAST UPDATED 2024-03-25 07:38:52 UTC

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