ZACHARY MICHAEL BELNAVIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078224

License Status

CANCELLED

Business

Title

First Name

ZACHARY

Middle

MICHAEL

Last Name

BELNAVIS

Business Name

ZACHARY MICHAEL BELNAVIS MD

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

06/23/2024

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/30/2021