ALEXANDER BENJAMIN ZOZULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

BENJAMIN

Last Name

ZOZULA

Business Name

ALEXANDER BENJAMIN ZOZULA MD

Original Issue Date

09/30/2020

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023