RAYMOND JUDE ZASTROW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

Title

First Name

RAYMOND

Middle

JUDE

Last Name

ZASTROW

Business Name

RAYMOND JUDE ZASTROW MD

Original Issue Date

08/27/2013

Effective Date

08/27/2013

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020