DOROTHY J ZAJAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

DOROTHY J

Last Name

ZAJAC

Suffix

Business Name

DOROTHY J ZAJAC MD

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

07/31/2002

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020