CARLOS FERNANDO ZAPATA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000886

License Status

CANCELLED

Business

First Name

CARLOS

Middle

FERNANDO

Last Name

ZAPATA

Suffix

Business Name

CARLOS FERNANDO ZAPATA MD

Original Issue Date

10/01/2011

Effective Date

10/01/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

09/14/2011