MARK ZAKULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017702

License Status

EXPIRED

Business

First Name

MARK

Last Name

ZAKULA

Suffix

Business Name

MARK ZAKULA MD

Original Issue Date

10/19/1984

Effective Date

10/19/1984

Expiration Date

07/01/1986

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006