Indiana
Professional Licensing Agency
Zdzislaw Jerry Kosel
Controlled Substance Registration - Physician
License number
01056113B
Date granted
05/02/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
21751 Hoosier Court, Bristol IN 46507
indianalicensing.org
ID 5828036
LAST UPDATED 2024-04-13 09:51:26 UTC
LAST UPDATED 2024-04-13 09:51:26 UTC
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