GERARDO ZAVALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

GERARDO

Last Name

ZAVALA

Business Name

GERARDO ZAVALA

Original Issue Date

02/08/2008

Effective Date

02/08/2008

Expiration Date

07/31/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011