ZACHARY DAVID MICHALICEK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137312

License Status

NOT RENEWED

Business

Title

First Name

ZACHARY

Middle

DAVID

Last Name

MICHALICEK

Business Name

ZACHARY DAVID MICHALICEK DO

Original Issue Date

02/17/2015

Effective Date

02/17/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017