License holder summary

Peter Richard Mazzara is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Peter Richard Mazzara is 3817 CAPILANO DR W., WEST LAFAYETTE IN 47906. This licensed professional license is current. The license was granted 04/12/1990 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Peter Richard Mazzara
Controlled Substance Registration - Physician
License number
01038294B
Date granted
04/12/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3817 CAPILANO DR W., WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934390
LAST UPDATED 2024-03-26 14:21:42 UTC

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