MICHAEL THOMAS MAZUR MD - Medical Doctor License in New York | # 036057307

MICHAEL THOMAS MAZUR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057307

License Status

INACTIVE

Business

N

First Name

MICHAEL THOMAS

Last Name

MAZUR

Suffix

MD

Business Name

MICHAEL THOMAS MAZUR MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1990

State

NY

Ever Disciplined

N

LastModifiedDate

06/13/2012