CAMELLIA LUCY MAZUR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927288

License Status

NOT RENEWED

Business

First Name

CAMELLIA

Middle

LUCY

Last Name

MAZUR

Suffix

Business Name

CAMELLIA LUCY MAZUR OD

Original Issue Date

07/21/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005