RICHARD WAYNE ZIMMERMAN 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

First Name

RICHARD WAYNE

Last Name

ZIMMERMAN

Suffix

Business Name

RICHARD WAYNE ZIMMERMAN MD

Original Issue Date

11/21/1985

Effective Date

11/21/1985

Expiration Date

07/31/1987

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006