JEREMY IAN ZAKS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068688

License Status

EXPIRED

Business

Title

First Name

JEREMY

Middle

IAN

Last Name

ZAKS

Business Name

JEREMY IAN ZAKS MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020