License holder summary

Valerie Mazzocco Roth is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Valerie Mazzocco Roth is St. Mary Medical Center, 1500 S Lake Park Avenue, Hobart IN 46342. This licensed professional license is current. The license was granted 01/16/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Valerie Mazzocco Roth
Controlled Substance Registration - Physician
License number
01072055B
Date granted
01/16/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary Medical Center, 1500 S Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5867838
LAST UPDATED 2024-05-15 12:25:38 UTC

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