License holder summary

Martin Ralph Szakaly is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Martin Ralph Szakaly is 2911 LINCOLNWAY WEST, SOUTH BEND IN 46628. This licensed professional license is current. The license was granted 06/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Martin Ralph Szakaly
Controlled Substance Registration - Dentist
License number
12007671B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2911 LINCOLNWAY WEST, SOUTH BEND IN 46628
indianalicensing.org
ID 5123251
LAST UPDATED 2024-01-25 19:58:19 UTC

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