Indiana
Professional Licensing Agency
Anita K. Mazdai
Controlled Substance Registration - Physician
License number
01052830B
Date granted
08/16/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6911 E. US 36, Avon IN 46123
indianalicensing.org
ID 5819924
LAST UPDATED 2024-03-14 19:24:01 UTC
LAST UPDATED 2024-03-14 19:24:01 UTC
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