MARK W BATES MD - Medical Doctor License in Illinois | # 125020614

MARK W BATES MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020614

License Status

EXPIRED

Business

N

First Name

MARK W

Last Name

BATES

Suffix

MD

Business Name

MARK W BATES MD

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006