JAMES J MOZZILLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

First Name

JAMES J

Last Name

MOZZILLO

Suffix

Business Name

JAMES J MOZZILLO MD

Original Issue Date

09/13/1984

Effective Date

09/13/1984

Expiration Date

07/31/1996

City

INDIANAPOLIS

State

Zip

46268

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006