KENNETH EDWARD ZICHAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053638

License Status

NOT RENEWED

Business

First Name

KENNETH EDWARD

Last Name

ZICHAL

Suffix

Business Name

KENNETH EDWARD ZICHAL MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006