LISA D ZACK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072954

License Status

INACTIVE

Business

First Name

LISA D

Last Name

ZACK

Suffix

Business Name

LISA D ZACK MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/31/1990

City

NAPLES

State

Zip

33940

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006