AUGUSTUS DANIEL MAZZOCCA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104585

License Status

NOT RENEWED

Business

First Name

AUGUSTUS

Middle

DANIEL

Last Name

MAZZOCCA

Suffix

Business Name

AUGUSTUS DANIEL MAZZOCCA MD

Original Issue Date

04/24/2001

Effective Date

04/24/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006