DANIEL JOHN MAZUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059463

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

JOHN

Last Name

MAZUR

Business Name

DANIEL JOHN MAZUR MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

06/03/2014