MICHAEL THOMAS MAZUR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057307

License Status

INACTIVE

Business

First Name

MICHAEL THOMAS

Last Name

MAZUR

Suffix

Business Name

MICHAEL THOMAS MAZUR MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1990

City

SYRACUSE

State

Zip

13210

County

NEW YORK

Ever Disciplined

LastModifiedDate

06/13/2012