License holder summary

Gregg Charles Mazonas is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Gregg Charles Mazonas is P.O. Box 70, 2158 Intelliplex Drive, Shelbyville IN 46176-8548. This licensed professional license is current. The license was granted 11/25/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Gregg Charles Mazonas
Controlled Substance Registration - Dentist
License number
12008860B
Date granted
11/25/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
P.O. Box 70, 2158 Intelliplex Drive, Shelbyville IN 46176-8548
indianalicensing.org
ID 5122164
LAST UPDATED 2024-02-27 23:34:19 UTC

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