EUGENE THEODORE KWIECIEN DDS - Dentist License in Indiana | # 019013153

EUGENE THEODORE KWIECIEN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013153

License Status

INACTIVE

Business

N

First Name

EUGENE THEODORE

Last Name

KWIECIEN

Suffix

DDS

Business Name

EUGENE THEODORE KWIECIEN DDS

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/1990

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005