License holder summary

Emily Marie Mazanowski is a Physician Assistant licensed to practice in Indiana. The address on file for Emily Marie Mazanowski is Fort Wayne IN 46802. This licensed professional license is current. The license was granted 10/23/2014 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Emily Marie Mazanowski
Physician Assistant
License number
10001757A
Date granted
10/23/2014
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Fort Wayne IN 46802
indianalicensing.org
ID 29180370
LAST UPDATED 2024-01-26 07:59:24 UTC

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