License holder summary

Terrence Lee Wiak is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Terrence Lee Wiak is 1606 Wren Court, Munster IN 46321. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Terrence Lee Wiak
Controlled Substance Registration - Dentist
License number
12006845B
Date granted
09/30/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1606 Wren Court, Munster IN 46321
indianalicensing.org
ID 5115095
LAST UPDATED 2024-04-17 22:28:38 UTC

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