JACK ZUCKNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033895

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

ZUCKNER

Suffix

Business Name

JACK ZUCKNER MD

Original Issue Date

12/28/1955

Effective Date

12/28/1955

City

ST. LOUIS

State

Zip

63124

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006