MICHAEL A KOSCIELNIAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009391

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

KOSCIELNIAK

Suffix

DDS

Business Name

MICHAEL A KOSCIELNIAK DDS

Original Issue Date

02/14/1948

Effective Date

02/14/1948

Expiration Date

09/30/1988

City

HAMMOND

State

Zip

46320

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005