JAMES W MAZZUCA DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

JAMES W

Last Name

MAZZUCA

Suffix

DPM

Business Name

JAMES W MAZZUCA DPM

Original Issue Date

08/26/1987

Effective Date

08/26/1987

Expiration Date

01/31/1993

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006