STEVIE H MAZYCK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109544

License Status

NOT RENEWED

Business

First Name

STEVIE

Middle

Last Name

MAZYCK

Business Name

STEVIE H MAZYCK

Original Issue Date

06/25/2003

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023