NICHOLAS EDWARD MAZUR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

EDWARD

Last Name

MAZUR

Business Name

NICHOLAS EDWARD MAZUR DO

Original Issue Date

08/05/2020

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023