ASHLEY DIANE ZAPF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061462

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

DIANE

Last Name

ZAPF

Business Name

ASHLEY DIANE ZAPF MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/24/2014