MYRON M MARLETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046636

License Status

NOT RENEWED

Business

First Name

MYRON M

Last Name

MARLETT

Suffix

Business Name

MYRON M MARLETT MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2005007446

Action

Refuse To Renew

Discipline Start Date

02/03/2006

Discipline Reason

Sister state discipline.