Peter Richard Mazzara
Controlled Substance Registration - Physician
Indiana 01038294B Active
This Indiana license is held by Peter Richard Mazzara. The license is currently active. It was granted on 04/12/1990 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01038294B
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/12/1990 (about 35 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
3817 CAPILANO DR W., WEST LAFAYETTE IN 47906
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