JOHN D MAZZARELLA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

JOHN D

Last Name

MAZZARELLA

Business Name

JOHN D MAZZARELLA

Original Issue Date

09/13/2017

Effective Date

09/13/2017

Expiration Date

01/31/2019

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019