RONALD JOSEPH MAZUKELLI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000863

License Status

INACTIVE

Business

First Name

RONALD JOSEPH

Last Name

MAZUKELLI

Suffix

DDS

Business Name

RONALD JOSEPH MAZUKELLI DDS

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

09/30/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

07/24/2006