ZACHARY STEPHEN DANIELS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142945

License Status

NOT RENEWED

Business

Title

First Name

ZACHARY

Middle

STEPHEN

Last Name

DANIELS

Business Name

ZACHARY STEPHEN DANIELS MD

Original Issue Date

04/11/2017

Effective Date

08/24/2020

Expiration Date

07/31/2023

City

FOREST PARK

State

Zip

60130

Ever Disciplined

LastModifiedDate

11/30/2023