License holder summary

Lyvonne Delcenia Washington is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Lyvonne Delcenia Washington is 5430 GRANDVIEW DRIVE, Indianapolis IN 46228. This licensed professional license is not current. The license was granted 02/19/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Lyvonne Delcenia Washington
Controlled Substance Registration - Dentist
License number
12006171B
Date granted
02/19/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5430 GRANDVIEW DRIVE, Indianapolis IN 46228
indianalicensing.org
ID 5103464
LAST UPDATED 2026-05-14 17:54:04 UTC

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