MARK J GREENWOOD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094805

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

GREENWOOD

Suffix

Business Name

MARK J GREENWOOD DO

Original Issue Date

02/15/1997

Effective Date

02/15/1997

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006