ALICJA MARIA MAZUREK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

ALICJA MARIA

Last Name

MAZUREK

Business Name

ALICJA MARIA MAZUREK

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005