DONALD ANTHONY MAZZULLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047735

License Status

EXPIRED

Business

First Name

DONALD

Middle

ANTHONY

Last Name

MAZZULLA

Suffix

Business Name

DONALD ANTHONY MAZZULLA MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/31/2008