RUSS ZAJTCHUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

RUSS

Last Name

ZAJTCHUK

Suffix

Business Name

RUSS ZAJTCHUK MD

Original Issue Date

12/07/1998

Effective Date

12/07/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2011