THOMAS A ZDEBLICK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000036

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

ZDEBLICK

Business Name

THOMAS A ZDEBLICK

Original Issue Date

08/28/1996

Effective Date

08/28/1996

Expiration Date

11/30/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006