AMANDA CELIA MAZZOLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083430

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

CELIA

Last Name

MAZZOLI

Business Name

AMANDA CELIA MAZZOLI MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/02/2024