MICHAEL S MAZUREK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MICHAEL S

Last Name

MAZUREK

Suffix

Business Name

MICHAEL S MAZUREK MD

Original Issue Date

10/07/1994

Effective Date

10/07/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006