ETANA LEAH ZACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143859

License Status

NOT RENEWED

Business

Title

First Name

ETANA

Middle

LEAH

Last Name

ZACK

Business Name

ETANA LEAH ZACK MD

Original Issue Date

07/18/2017

Effective Date

05/05/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023