ALEXANDER ERIC ZAJAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Middle

ERIC

Last Name

ZAJAC

Business Name

ALEXANDER ERIC ZAJAC MD

Original Issue Date

05/01/2018

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021