RICHARD A MAZUR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

MAZUR

Business Name

RICHARD A MAZUR

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

07/31/1999

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006