ZACHARY DIERK PARDIECK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074598

License Status

CANCELLED

Business

Title

First Name

ZACHARY

Middle

DIERK

Last Name

PARDIECK

Business Name

ZACHARY DIERK PARDIECK MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/28/2022