KAREN DIANE ZIENERT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

DIANE

Last Name

ZIENERT

Suffix

Business Name

KAREN DIANE ZIENERT MD

Original Issue Date

05/01/2002

Effective Date

05/01/2002

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008