ROBERT LEE MAZOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

CANCELLED

Business

First Name

ROBERT

Middle

LEE

Last Name

MAZOR

Suffix

Business Name

ROBERT LEE MAZOR MD

Original Issue Date

01/26/2000

Effective Date

01/26/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006