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
LAST UPDATED 2024-01-26 07:59:24 UTC
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