MARK D GREATTING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075193

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

Last Name

GREATTING

Business Name

MARK D GREATTING MD

Original Issue Date

06/22/1987

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/25/2023