K P ZACHARIAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

CANCELLED

Business

First Name

K P

Last Name

ZACHARIAS

Suffix

Business Name

K P ZACHARIAS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008