DARRYL ADAM ZUCKERMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096755

License Status

NOT RENEWED

Business

First Name

DARRYL ADAM

Last Name

ZUCKERMAN

Business Name

DARRYL ADAM ZUCKERMAN

Original Issue Date

09/29/1997

Effective Date

09/29/1997

Expiration Date

07/31/2002

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2008