MARK JEROME GREENWALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055837

License Status

ACTIVE

Business

First Name

MARK JEROME

Last Name

GREENWALD

Suffix

Business Name

MARK JEROME GREENWALD MD

Original Issue Date

10/17/1977

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2023