NANCY LYNN ZUKOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

NANCY

Middle

LYNN

Last Name

ZUKOWSKI

Suffix

Business Name

NANCY LYNN ZUKOWSKI MD

Original Issue Date

01/21/1999

Effective Date

01/21/1999

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006