AMY L ZACHARIAS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

ZACHARIAS

Business Name

AMY L ZACHARIAS

Original Issue Date

08/15/2003

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2023