Indiana
Professional Licensing Agency
Edward Tyszkiewicz
Controlled Substance Registration - Dentist
License number
12009163B
Date granted
07/10/1989
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
7550 HOHMAN AVENUE, MUNSTER IN 46321
indianalicensing.org
ID 5114599
LAST UPDATED 2024-02-04 06:13:12 UTC
LAST UPDATED 2024-02-04 06:13:12 UTC
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