MARK S ULBRICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075395

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

ULBRICH

Suffix

Business Name

MARK S ULBRICH MD

Original Issue Date

07/02/1987

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021