ETHAN EVERETT ZIMMERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050039

License Status

EXPIRED

Business

First Name

ETHAN

Middle

EVERETT

Last Name

ZIMMERMAN

Suffix

Business Name

ETHAN EVERETT ZIMMERMAN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008