PHILIP JOHN ZORN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068595

License Status

EXPIRED

Business

Title

First Name

PHILIP

Middle

JOHN

Last Name

ZORN

Business Name

PHILIP JOHN ZORN DO

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/02/2019