DOUGLAS A MAZUREK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084218

License Status

NOT RENEWED

Business

First Name

DOUGLAS A

Last Name

MAZUREK

Suffix

Business Name

DOUGLAS A MAZUREK MD

Original Issue Date

04/09/1992

Effective Date

04/09/1992

Expiration Date

07/31/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006