MARK HANNA FIELDS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041455

License Status

NOT RENEWED

Business

First Name

MARK HANNA

Last Name

FIELDS JR

Suffix

Business Name

MARK HANNA FIELDS JR MD

Original Issue Date

01/01/1997

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021