BRIAN C ZAPANTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

Last Name

ZAPANTA

Business Name

BRIAN C ZAPANTA MD

Original Issue Date

07/11/2014

Effective Date

05/16/2017

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021