PETER THOMAS ZAVISLAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135255

License Status

NOT RENEWED

Business

Title

First Name

PETER

Middle

THOMAS

Last Name

ZAVISLAK

Business Name

PETER THOMAS ZAVISLAK MD

Original Issue Date

05/05/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021