SAMUEL D ZAENTZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

SAMUEL D

Last Name

ZAENTZ

Suffix

Business Name

SAMUEL D ZAENTZ MD

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

07/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008