MICHAEL T ZAGARDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

ZAGARDO

Suffix

Business Name

MICHAEL T ZAGARDO MD

Original Issue Date

07/15/1998

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023