SUSAN M MAZZEI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

SUSAN M

Last Name

MAZZEI

Business Name

SUSAN M MAZZEI

Original Issue Date

05/26/1988

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024