ANTHONY MICHAEL ZELAZNY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

ANTHONY MICHAEL

Last Name

ZELAZNY

Suffix

Business Name

ANTHONY MICHAEL ZELAZNY MD

Original Issue Date

04/14/1997

Effective Date

04/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021