Indiana
Professional Licensing Agency
Lesley Kizior
Controlled Substance Registration - Dentist
License number
12009960B
Date granted
07/09/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2005 Saint Charles Street, Suite 5, Jasper IN 47546-2271
indianalicensing.org
ID 5105068
LAST UPDATED 2024-03-15 13:45:31 UTC
LAST UPDATED 2024-03-15 13:45:31 UTC
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