RICHARD MICHAEL ZELAZNY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038634

License Status

INACTIVE

Business

First Name

RICHARD MICHAEL

Last Name

ZELAZNY

Suffix

Business Name

RICHARD MICHAEL ZELAZNY MD

Original Issue Date

09/09/1963

Effective Date

09/09/1963

Expiration Date

07/31/1999

City

PHOENIX

State

Zip

85022

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006