DARICE LYNNE ZABAK MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****33

NOT RENEWED

N

DARICE

LYNNE

ZABAK

MD

DARICE LYNNE ZABAK MD

12/09/2004

04/14/2011

07/31/2014

PORTLAND

OR

97239

OREGON

II III IV V

N

11/17/2014