License holder summary

Mark J Wasylenko is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark J Wasylenko is 311 BOYD BOULEVARD, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 01/21/1993 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Mark J Wasylenko
Controlled Substance Registration - Physician
License number
01041052B
Date granted
01/21/1993
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
311 BOYD BOULEVARD, LAPORTE IN 46350
indianalicensing.org
ID 5878269
LAST UPDATED 2026-05-02 19:52:10 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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