STEPHANY LYNNE MAZUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

STEPHANY

Middle

LYNNE

Last Name

MAZUR

Business Name

STEPHANY LYNNE MAZUR MD

Original Issue Date

04/08/2022

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023