GARY S ZWICKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

GARY S

Last Name

ZWICKY

Suffix

Business Name

GARY S ZWICKY MD

Original Issue Date

11/13/1985

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021