MARC B WILLAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075809

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

Last Name

WILLAGE

Business Name

MARC B WILLAGE MD

Original Issue Date

09/01/1987

Effective Date

12/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017