Indiana
Professional Licensing Agency
Matthew Allen Mazur
Controlled Substance Registration-Osteopathic Physician
License number
02003607B
Date granted
12/14/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Saint Margaret Mercy, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5802728
LAST UPDATED 2024-04-11 14:12:16 UTC
LAST UPDATED 2024-04-11 14:12:16 UTC
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