MARK BERNARD HAZUKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174647

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

BERNARD

Last Name

HAZUKA

Business Name

MARK BERNARD HAZUKA MD

Original Issue Date

04/14/2025

Effective Date

04/14/2025

Expiration Date

07/31/2026

City

COLORADO SPRINGS

State

Zip

80903

Ever Disciplined

LastModifiedDate

04/14/2025