License holder summary

Mitchell James Mazurek is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mitchell James Mazurek is 1101 EAST GLENDALE BOULEVARD, Valparaiso IN 46383. This licensed professional license is current. The license was granted 08/27/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mitchell James Mazurek
Controlled Substance Registration - Physician
License number
01040686B
Date granted
08/27/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1101 EAST GLENDALE BOULEVARD, Valparaiso IN 46383
indianalicensing.org
ID 5929364
LAST UPDATED 2024-04-14 17:54:50 UTC

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