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
LAST UPDATED 2024-01-25 19:58:19 UTC
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