MARK E BAXTER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083076

License Status

NOT RENEWED

Business

First Name

MARK E

Last Name

BAXTER

Business Name

MARK E BAXTER

Original Issue Date

07/24/1991

Effective Date

07/24/1991

Expiration Date

07/31/1993

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006