PHILIP SCOTT ZIMMERMAN MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****47

NOT RENEWED

N

PHILIP SCOTT

ZIMMERMAN

MD

PHILIP SCOTT ZIMMERMAN MD

01/01/1997

07/31/1990

BENTON

IL

62812

FRANKLIN

II III IV V

Y

03/24/2007

1983000186

Suspension

10/07/1987