DEVON MARK ZOLLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055928

License Status

EXPIRED

Business

First Name

DEVON

Middle

MARK

Last Name

ZOLLER

Suffix

Business Name

DEVON MARK ZOLLER MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012