MIKKO B ZUCHNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MIKKO

Middle

Last Name

ZUCHNER

Suffix

Business Name

MIKKO B ZUCHNER MD

Original Issue Date

04/29/2002

Effective Date

04/29/2002

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62220

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011