ROBERT LEE MAZOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

LEE

Last Name

MAZOR

Suffix

Business Name

ROBERT LEE MAZOR MD

Original Issue Date

07/22/1998

Effective Date

07/22/1998

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006