MARY L MAZZA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088698

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

MAZZA

Suffix

Business Name

MARY L MAZZA DO

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

02/02/2016