MAURA A MAZEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000198

License Status

EXPIRED

Business

First Name

MAURA

Middle

Last Name

MAZEY

Business Name

MAURA A MAZEY

Original Issue Date

01/26/1993

Effective Date

01/26/1993

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006