RONALD JOSEPH MAZUKELLI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013883

License Status

INACTIVE

Business

First Name

RONALD JOSEPH

Last Name

MAZUKELLI

Suffix

DDS

Business Name

RONALD JOSEPH MAZUKELLI DDS

Original Issue Date

07/07/1970

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PK. RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006