Indiana
Professional Licensing Agency
MARK ZAKULA
Controlled Substance Registration - Physician
License number
01033840B
Date granted
01/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
16208 MOUNT STREET, LOWELL IN 46356
indianalicensing.org
ID 5886078
LAST UPDATED 2024-03-01 18:12:14 UTC
LAST UPDATED 2024-03-01 18:12:14 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.