License holder summary

Douglas Adolph Mazurek is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Douglas Adolph Mazurek is 587 Shatz Drive, VALPARAISO IN 46385. This licensed professional license is current. The license was granted 04/29/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Douglas Adolph Mazurek
Controlled Substance Registration - Physician
License number
01038566B
Date granted
04/29/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
587 Shatz Drive, VALPARAISO IN 46385
indianalicensing.org
ID 5928447
LAST UPDATED 2024-03-26 05:21:37 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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