PAUL E ZACHARY JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

CANCELLED

Business

First Name

PAUL E

Last Name

ZACHARY JR

Suffix

Business Name

PAUL E ZACHARY JR MD

Original Issue Date

06/17/1993

Effective Date

06/17/1993

Expiration Date

07/31/1999

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006