Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****05

NOT RENEWED

N

MD

ETANA

LEAH

ZACK

ETANA LEAH ZACK MD

07/18/2017

09/30/2020

07/31/2023

PARK RIDGE

IL

60068

COOK

PRACTITIONER

II III IV V

N

11/30/2023