ALVIN ZACHARIAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031455

License Status

EXPIRED

Business

First Name

ALVIN

Last Name

ZACHARIAH

Business Name

ALVIN ZACHARIAH

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/30/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006