Indiana
Professional Licensing Agency
William Arthur Lyzak
Controlled Substance Registration - Dentist
License number
12010025B
Date granted
06/02/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
402 Marquette St., Valparaiso IN 46385
indianalicensing.org
ID 5126444
LAST UPDATED 2024-04-15 22:59:53 UTC
LAST UPDATED 2024-04-15 22:59:53 UTC
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