MARK R GARDNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068695

License Status

ACTIVE

Business

First Name

MARK R

Last Name

GARDNER

Suffix

Business Name

MARK R GARDNER MD

Original Issue Date

05/23/1984

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/16/2023

Case Number

2003007809

Action

Reprimand

Discipline Start Date

05/15/2006