Indiana
Professional Licensing Agency
C WILLIAM VIZE
Controlled Substance Registration - Dentist
License number
12004858B
Date granted
09/01/1975
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
920 N SHADELAND AVENUE, INDIANAPOLIS IN 46219
indianalicensing.org
ID 5101726
LAST UPDATED 2024-04-14 15:44:04 UTC
LAST UPDATED 2024-04-14 15:44:04 UTC
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