License holder summary

Mark Eugene Petrik is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Eugene Petrik is 14930 Snyders Chapel Road NE, Palmyra IN 47164-8532. This licensed professional license is not current. The license was granted 07/11/1990 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Mark Eugene Petrik
Controlled Substance Registration - Physician
License number
01038385B
Date granted
07/11/1990
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
14930 Snyders Chapel Road NE, Palmyra IN 47164-8532
indianalicensing.org
ID 5908647
LAST UPDATED 2026-04-20 20:43:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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