ZIEMOWIT T MAZUR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003805

License Status

ACTIVE

Business

First Name

ZIEMOWIT

Middle

Last Name

MAZUR

Business Name

ZIEMOWIT T MAZUR

Original Issue Date

07/26/2010

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

01/25/2026