MARK D LOCKE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092171

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

LOCKE

Business Name

MARK D LOCKE

Original Issue Date

11/18/1995

Effective Date

11/18/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006