RICARDO DAVID ZEGARRA LOZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123078

License Status

NOT RENEWED

Business

First Name

RICARDO

Middle

DAVID

Last Name

ZEGARRA LOZA

Suffix

Business Name

RICARDO DAVID ZEGARRA LOZA MD

Original Issue Date

04/06/2009

Effective Date

04/06/2009

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011