NANCY BROITMAN MOZELSIO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100213

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

BROITMAN

Last Name

MOZELSIO

Business Name

NANCY BROITMAN MOZELSIO

Original Issue Date

05/14/1999

Effective Date

05/14/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006