MARK A HACKBARTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068903

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

HACKBARTH

Suffix

Business Name

MARK A HACKBARTH MD

Original Issue Date

06/25/1984

Effective Date

06/25/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006