MARK T SPOOLSTRA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072957

License Status

INACTIVE

Business

First Name

MARK T

Last Name

SPOOLSTRA

Suffix

Business Name

MARK T SPOOLSTRA MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/31/1987

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006