MATTHEW ALLEN MAZUR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119681

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

MAZUR

Suffix

Business Name

MATTHEW ALLEN MAZUR DO

Original Issue Date

11/09/2007

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

GAYLORD

State

Zip

49735

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014