NILI EVA MAZUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

NILI

Middle

EVA

Last Name

MAZUR

Suffix

Business Name

NILI EVA MAZUR MD

Original Issue Date

08/04/1998

Effective Date

07/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014