ALFRED W MAZUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115438

License Status

NOT RENEWED

Business

First Name

ALFRED

Middle

Last Name

MAZUR

Suffix

Business Name

ALFRED W MAZUR MD

Original Issue Date

03/15/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

11/14/2011