MARK DOUGLAS ZUKUNFT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064693

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

DOUGLAS

Last Name

ZUKUNFT

Business Name

MARK DOUGLAS ZUKUNFT MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/19/2017