ZACHARY JONATHAN OSBORNE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059228

License Status

CANCELLED

Business

Title

First Name

ZACHARY

Middle

JONATHAN

Last Name

OSBORNE

Business Name

ZACHARY JONATHAN OSBORNE MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

EAU CLAIRE

State

Zip

54701

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/09/2011