MARK J ZAWODNIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

ZAWODNIAK

Suffix

Business Name

MARK J ZAWODNIAK MD

Original Issue Date

08/27/1981

Effective Date

08/27/1981

Expiration Date

07/31/1999

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006