BRIAN W ZERNICH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025534

License Status

EXPIRED

Business

First Name

BRIAN W

Last Name

ZERNICH

Suffix

Business Name

BRIAN W ZERNICH DO

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006