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
LAST UPDATED 2024-04-14 17:54:50 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.