MARK D FETTER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091371

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

FETTER

Business Name

MARK D FETTER

Original Issue Date

07/24/1995

Effective Date

07/24/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006