CAMELLIA LUCY MAZUR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927176

License Status

NOT RENEWED

Business

First Name

CAMELLIA

Middle

LUCY

Last Name

MAZUR

Suffix

Business Name

CAMELLIA LUCY MAZUR OD

Original Issue Date

05/31/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005