ADAM LAWRENCE ZACK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

ADAM

Middle

LAWRENCE

Last Name

ZACK

Business Name

ADAM LAWRENCE ZACK DO

Original Issue Date

09/18/2023

Effective Date

09/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2023