MARK WALTER DEROO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065518

License Status

NOT RENEWED

Business

First Name

MARK WALTER

Last Name

DEROO

Suffix

Business Name

MARK WALTER DEROO MD

Original Issue Date

10/19/1982

Effective Date

10/19/1982

Expiration Date

07/31/1984

City

MARQUETTE HEIGHTS

State

Zip

61554

County

BUREAU

Ever Disciplined

LastModifiedDate

09/20/2006