License holder summary

MICHAEL L ICZKOVITZ is a Dentist licensed to practice in Pennsylvania. The address on file for MICHAEL L ICZKOVITZ is FORT WAYNE IN 46815. This medical practitioner license is not current. The license was granted 09/01/1976 and expired on 03/31/2015.

Department of State

Board of Medicine

MICHAEL L ICZKOVITZ
Dentist
License number
DS019645L
Date granted
09/01/1976
Date expires
03/31/2015
Class
Dentist
Status
Inactive
Address
FORT WAYNE IN 46815
medicinepa.com
ID 37430878
LAST UPDATED 2026-06-07 01:06:41 UTC

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