CAMELLIA LUCY MAZUR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926620

License Status

NOT RENEWED

Business

First Name

CAMELLIA

Middle

LUCY

Last Name

MAZUR

Suffix

Business Name

CAMELLIA LUCY MAZUR OD

Original Issue Date

11/30/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005