C WILLIAM VIZE

Controlled Substance Registration - Dentist

Indiana  12004858B   Expired

This Indiana license was held by C WILLIAM VIZE. The license is no longer active. It was granted on 09/01/1975 and expired on 03/01/1992

LICENSE DETAILS

  • License Number: 12004858B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 09/01/1975 (almost 50 years ago)
  • Expiry Date: 03/01/1992 (over 33 years ago)

LOCATIONS

A Address

920 N SHADELAND AVENUE, INDIANAPOLIS IN 46219