License holder summary

ANTHONY J CHIDALEK is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for ANTHONY J CHIDALEK is 820 JEFFERSON AVE #200, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

ANTHONY J CHIDALEK
Controlled Substance Registration - Dentist
License number
12005001B
Date granted
02/28/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
820 JEFFERSON AVE #200, LAPORTE IN 46350
indianalicensing.org
ID 5107020
LAST UPDATED 2024-04-21 06:57:55 UTC

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