License holder summary

JUDY S LYZAK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JUDY S LYZAK is ST ANTHONY HOSPITAL LABORATORY, 1201 SOUTH MAIN STREET, Crown Point IN 46307. This licensed professional license is current. The license was granted 06/27/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

JUDY S LYZAK
Controlled Substance Registration - Physician
License number
01045230B
Date granted
06/27/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
ST ANTHONY HOSPITAL LABORATORY, 1201 SOUTH MAIN STREET, Crown Point IN 46307
indianalicensing.org
ID 5841338
LAST UPDATED 2024-04-14 14:14:31 UTC

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