License holder summary

Anita K. Mazdai is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Anita K. Mazdai is 6911 E. US 36, Avon IN 46123. This licensed professional license is current. The license was granted 08/16/2000 and expired on 10/31/2015.

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

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