MARY L MAZZA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029257

License Status

EXPIRED

Business

First Name

MARY L

Last Name

MAZZA

Suffix

Business Name

MARY L MAZZA DO

Original Issue Date

04/16/1993

Effective Date

04/16/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006