KOMAL D'SOUZA ZACHARIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

KOMAL

Middle

D'SOUZA

Last Name

ZACHARIA

Business Name

KOMAL D'SOUZA ZACHARIA MD

Original Issue Date

08/13/2019

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023