RONALD THEODORE ZELLEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

THEODORE

Last Name

ZELLEM

Suffix

Business Name

RONALD THEODORE ZELLEM MD

Original Issue Date

12/02/2010

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021