CORINNE E ZLOCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

NOT RENEWED

Business

First Name

CORINNE

Middle

Last Name

ZLOCK

Business Name

CORINNE E ZLOCK

Original Issue Date

07/26/2005

Effective Date

07/26/2005

Expiration Date

03/01/2008

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006