License holder summary

Mark Girish Jablonski is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Girish Jablonski is Good Samaritan, 520 S 7th Street, Vincennes IN 47591-1038. This licensed professional license is current. The license was granted 08/26/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Girish Jablonski
Controlled Substance Registration - Physician
License number
01074455B
Date granted
08/26/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Good Samaritan, 520 S 7th Street, Vincennes IN 47591-1038
indianalicensing.org
ID 27721954
LAST UPDATED 2024-03-18 12:57:42 UTC

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