ZANE WAJI M DEAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

ZANE

Middle

WAJI M

Last Name

DEAN

Suffix

Business Name

ZANE WAJI M DEAN MD

Original Issue Date

11/01/1999

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021