JOSE LUIS ZABALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070129

License Status

EXPIRED

Business

Title

First Name

JOSE

Middle

LUIS

Last Name

ZABALA

Business Name

JOSE LUIS ZABALA MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020