Indiana
Professional Licensing Agency
MARY LOUISE MAZZA
Controlled Substance Registration-Osteopathic Physician
License number
02001503B
Date granted
10/13/1993
Date expires
06/30/1997
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH / ER, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802726
LAST UPDATED 2024-05-10 01:07:07 UTC
LAST UPDATED 2024-05-10 01:07:07 UTC
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