ADAM LAWRENCE ZACK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166835

License Status

ACTIVE

Business

Title

First Name

ADAM

Middle

LAWRENCE

Last Name

ZACK

Business Name

ADAM LAWRENCE ZACK DO

Original Issue Date

09/01/2023

Effective Date

09/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2023