MARK DAHLEN COUTIN MD - Medical Doctor License in Illinois | # 125069793

MARK DAHLEN COUTIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069793

License Status

EXPIRED

Business

N

Title

MD

First Name

MARK

Middle

DAHLEN

Last Name

COUTIN

Business Name

MARK DAHLEN COUTIN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

11/19/2020