TODD CARY ZISHOLTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

TODD

Middle

CARY

Last Name

ZISHOLTZ

Business Name

TODD CARY ZISHOLTZ MD

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/05/2020