IRA LYNDON ZACKON MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****71

NOT RENEWED

N

IRA LYNDON

ZACKON

MD

IRA LYNDON ZACKON MD

08/14/1992

08/14/1992

07/31/1996

CHICAGO

IL

60611

COOK

II III IV V

N

09/26/2006