WALTER JOHN ZICH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034663

License Status

INACTIVE

Business

First Name

WALTER

Middle

JOHN

Last Name

ZICH

Suffix

Business Name

WALTER JOHN ZICH MD

Original Issue Date

07/30/1957

Effective Date

07/30/1957

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/09/2006