J MICHAEL ZINZILIETA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059290

License Status

NOT RENEWED

Business

First Name

J MICHAEL

Last Name

ZINZILIETA

Suffix

Business Name

J MICHAEL ZINZILIETA MD

Original Issue Date

08/27/1979

Effective Date

06/09/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021