GRACE A ZUKOVSKY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023188

License Status

EXPIRED

Business

First Name

GRACE

Middle

Last Name

ZUKOVSKY

Business Name

GRACE A ZUKOVSKY

Original Issue Date

11/01/1988

Effective Date

11/01/1988

Expiration Date

10/24/1991

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006