WILLIAM A LYZAK DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021631

License Status

INACTIVE

Business

First Name

WILLIAM A

Last Name

LYZAK

Suffix

DMD

Business Name

WILLIAM A LYZAK DMD

Original Issue Date

08/01/1989

Effective Date

08/01/1989

Expiration Date

09/30/1998

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005