License holder summary

MARIO J MARCINCZYK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARIO J MARCINCZYK is 1411 SOUTH CREASY LANE SUITE 200, P O BOX 4699, Lafayette IN 47903-4699. This licensed professional license is not current. The license was granted 01/11/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

MARIO J MARCINCZYK
Controlled Substance Registration - Physician
License number
01042698B
Date granted
01/11/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1411 SOUTH CREASY LANE SUITE 200, P O BOX 4699, Lafayette IN 47903-4699
indianalicensing.org
ID 5880266
LAST UPDATED 2026-05-09 00:59:09 UTC

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