CORINNE E ZLOCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002453

License Status

NOT RENEWED

Business

First Name

CORINNE

Middle

Last Name

ZLOCK

Business Name

CORINNE E ZLOCK

Original Issue Date

01/24/2005

Effective Date

01/24/2005

Expiration Date

03/01/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008