MICHAEL ZDENEK DAVID Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111698

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ZDENEK

Last Name

DAVID

Business Name

MICHAEL ZDENEK DAVID

Original Issue Date

06/25/2004

Effective Date

05/02/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021