ZACHARY JASON EMMONS DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070682

License Status

EXPIRED

Business

Title

First Name

ZACHARY

Middle

JASON

Last Name

EMMONS

Business Name

ZACHARY JASON EMMONS DO

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020