MARK OWEN MOLESKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051452

License Status

NOT RENEWED

Business

First Name

MARK OWEN

Last Name

MOLESKI

Suffix

Business Name

MARK OWEN MOLESKI MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006