VANCE EDWARD ZACHARY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

VANCE EDWARD

Last Name

ZACHARY

Suffix

Business Name

VANCE EDWARD ZACHARY MD

Original Issue Date

10/04/1983

Effective Date

10/04/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006