LISA C MAZZULLO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091408

License Status

ACTIVE

Business

First Name

LISA C

Last Name

MAZZULLO

Business Name

LISA C MAZZULLO

Original Issue Date

07/26/1995

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023

Case Number

2020004365

Action

Reprimand

Discipline Start Date

06/13/2022

Discipline Reason

physician and surgeon license reprimanded for failing to properly manage labor and forceps delivery for a patient.