MICHAEL RONALD MAZUKELLI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025508

License Status

ACTIVE

Business

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

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024