ZACHARY LENNON MCCORMICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059971

License Status

CANCELLED

Business

Title

First Name

ZACHARY

Middle

LENNON

Last Name

MCCORMICK

Business Name

ZACHARY LENNON MCCORMICK MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

04/29/2014