ZACHARY ANDREW COLVIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064520

License Status

EXPIRED

Business

First Name

ZACHARY

Middle

ANDREW

Last Name

COLVIN

Suffix

Business Name

ZACHARY ANDREW COLVIN DO

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/25/2018