MARK D GIDEONSEN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093774

License Status

INACTIVE

Business

First Name

MARK D

Last Name

GIDEONSEN

Business Name

MARK D GIDEONSEN

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006