BRIAN C ZAPANTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135889

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

Last Name

ZAPANTA

Business Name

BRIAN C ZAPANTA MD

Original Issue Date

07/11/2014

Effective Date

05/16/2017

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

01/14/2021