ZACHARY ADAM SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126865

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

ADAM

Last Name

SMITH

Business Name

ZACHARY ADAM SMITH

Original Issue Date

11/12/2010

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021