ANNETTE ZACHARIA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

ANNETTE

Last Name

ZACHARIA

Business Name

ANNETTE ZACHARIA MD

Original Issue Date

12/22/2017

Effective Date

12/22/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021