THEODORE MAZZONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066566

License Status

ACTIVE

Business

First Name

THEODORE

Last Name

MAZZONE

Suffix

Business Name

THEODORE MAZZONE MD

Original Issue Date

05/20/1983

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023