License holder summary

Jill Suzanne Mazurek is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jill Suzanne Mazurek is Meridian Pediatrics, 12065 Old Meridian Suite 100, Carmel IN 46032. This licensed professional license is current. The license was granted 07/31/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jill Suzanne Mazurek
Controlled Substance Registration - Physician
License number
01043902B
Date granted
07/31/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Meridian Pediatrics, 12065 Old Meridian Suite 100, Carmel IN 46032
indianalicensing.org
ID 5830868
LAST UPDATED 2024-04-09 11:34:22 UTC

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