License holder summary

Lilioza Maria Gzyl is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lilioza Maria Gzyl is 3005 SPRING CREEK, FORT WAYNE IN 46808. This licensed professional license is current. The license was granted 10/15/1987 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Lilioza Maria Gzyl
Controlled Substance Registration - Physician
License number
01036326B
Date granted
10/15/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3005 SPRING CREEK, FORT WAYNE IN 46808
indianalicensing.org
ID 5853898
LAST UPDATED 2024-03-17 11:20:06 UTC

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