PETER THOMAS ZAVISLAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059299

License Status

CANCELLED

Business

Title

First Name

PETER

Middle

THOMAS

Last Name

ZAVISLAK

Business Name

PETER THOMAS ZAVISLAK MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014