THOMAS DAVID MAZER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

THOMAS DAVID

Last Name

MAZER

Suffix

Business Name

THOMAS DAVID MAZER MD

Original Issue Date

09/28/1981

Effective Date

09/28/1981

Expiration Date

09/01/1982

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006