VANCE EDWARD ZACHARY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065516

License Status

NOT RENEWED

Business

First Name

VANCE EDWARD

Last Name

ZACHARY

Suffix

Business Name

VANCE EDWARD ZACHARY MD

Original Issue Date

10/19/1982

Effective Date

10/19/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2015