JAMES J MOZZILLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069006

License Status

NOT RENEWED

Business

First Name

JAMES J

Last Name

MOZZILLO

Suffix

Business Name

JAMES J MOZZILLO MD

Original Issue Date

07/12/1984

Effective Date

07/12/1984

Expiration Date

07/31/1996

City

AVON

State

Zip

46123

Ever Disciplined

LastModifiedDate

08/03/2010

Case Number

2001002713

Action

Reprimand

Discipline Start Date

01/13/2003

Discipline Reason

Disciplined in Wisconsin.