JOSE MIGUEL ZAPATERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

JOSE

Middle

MIGUEL

Last Name

ZAPATERO

Suffix

Business Name

JOSE MIGUEL ZAPATERO MD

Original Issue Date

03/06/2002

Effective Date

03/06/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006