KERRY L ZAJICEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001028

License Status

NOT RENEWED

Business

Title

First Name

KERRY

Middle

Last Name

ZAJICEK

Business Name

KERRY L ZAJICEK MD

Original Issue Date

01/01/2015

Effective Date

01/01/2015

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/07/2016