RICHARD A MAZUR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015116

License Status

EXPIRED

Business

First Name

RICHARD A

Last Name

MAZUR

Business Name

RICHARD A MAZUR

Original Issue Date

01/21/1983

Effective Date

01/21/1983

Expiration Date

01/01/1985

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006