License holder summary

Mark Farrel Kozloff is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Farrel Kozloff is 1600 S. Lake Parke Ave., Suite 1101, Hobart IN 46342. This licensed professional license is not current. The license was granted 05/18/2005 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Mark Farrel Kozloff
Controlled Substance Registration - Physician
License number
01038049C
Date granted
05/18/2005
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1600 S. Lake Parke Ave., Suite 1101, Hobart IN 46342
indianalicensing.org
ID 5867428
LAST UPDATED 2026-04-01 14:59:16 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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