MITCHELL B MAX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052202

License Status

NOT RENEWED

Business

First Name

MITCHELL B

Last Name

MAX

Suffix

Business Name

MITCHELL B MAX MD

Original Issue Date

12/19/1975

Effective Date

12/19/1975

Expiration Date

07/01/1978

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/10/2007