JOSHUA MICHAEL ZAVITZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

MICHAEL

Last Name

ZAVITZ

Business Name

JOSHUA MICHAEL ZAVITZ DO

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014