VANCE EDWARD ZACHARY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013457

License Status

EXPIRED

Business

First Name

VANCE EDWARD

Last Name

ZACHARY

Suffix

Business Name

VANCE EDWARD ZACHARY MD

Original Issue Date

08/21/1981

Effective Date

08/21/1981

Expiration Date

06/24/1983

City

CHICAGI

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006