KIMBERLY ARVIDSON MAZUR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

ARVIDSON

Last Name

MAZUR

Business Name

KIMBERLY ARVIDSON MAZUR DO

Original Issue Date

01/17/2014

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023