License holder summary

Kelly J. Dziak is a Controlled Substance Registration - Veterinarian licensed to practice in Indiana. The address on file for Kelly J. Dziak is East State Veterinary Clinic, 3319 East State Blvd., Fort Wayne IN 46805. This licensed professional license is current. The license was granted 07/19/2005 and expired on 10/15/2015.

Indiana

Professional Licensing Agency

Kelly J. Dziak
Controlled Substance Registration - Veterinarian
License number
24006532B
Date granted
07/19/2005
Date expires
10/15/2015
Class
Controlled Substance Registration - Veterinarian
Status
Active
Address
East State Veterinary Clinic, 3319 East State Blvd., Fort Wayne IN 46805
indianalicensing.org
ID 8639296
LAST UPDATED 2024-04-01 07:22:48 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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