License holder summary

Mark Wayne Kolasa is a Physician licensed to practice in Indiana. The address on file for Mark Wayne Kolasa is Universal City TX 78148. This licensed professional license is not current. The license was granted 10/19/2004 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Mark Wayne Kolasa
Physician
License number
01059875A
Date granted
10/19/2004
Date expires
06/30/2011
Class
Physician
Status
Expired Non-Renewable
Address
Universal City TX 78148
indianalicensing.org
ID 6106771
LAST UPDATED 2024-03-03 01:26:46 UTC

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