MARK P BIRKENBACH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072747

License Status

NOT RENEWED

Business

First Name

MARK P

Last Name

BIRKENBACH

Suffix

Business Name

MARK P BIRKENBACH MD

Original Issue Date

05/20/1986

Effective Date

05/20/1986

Expiration Date

07/31/1999

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

08/21/2013