Mark Eugene Petrik
Controlled Substance Registration - Physician
Indiana 01038385B Expired
This Indiana license was held by Mark Eugene Petrik. The license is no longer active. It was granted on 07/11/1990 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01038385B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/11/1990 (almost 36 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
14930 Snyders Chapel Road NE, Palmyra IN 47164-8532