RICHARD A MAZUR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

MAZUR

Business Name

RICHARD A MAZUR

Original Issue Date

11/03/1987

Effective Date

11/03/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006