DONALD DAVID MARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036405

License Status

NOT RENEWED

Business

First Name

DONALD DAVID

Last Name

MARK

Suffix

Business Name

DONALD DAVID MARK MD

Original Issue Date

03/03/1960

Effective Date

03/03/1960

Expiration Date

07/31/1987

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006