MICHAEL RONALD MAZUKELLI - Dentist License in Illinois | # 019025508

MICHAEL RONALD MAZUKELLI

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025508

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

RONALD

Last Name

MAZUKELLI

Business Name

MICHAEL RONALD MAZUKELLI

Original Issue Date

03/06/2001

Effective Date

09/25/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2024