MARK EUGENE ZAJACKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

MARK EUGENE

Last Name

ZAJACKOWSKI

Suffix

Business Name

MARK EUGENE ZAJACKOWSKI MD

Original Issue Date

01/01/1997

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020