MARK ANDREW WILLOUGHBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101475

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANDREW

Last Name

WILLOUGHBY

Suffix

Business Name

MARK ANDREW WILLOUGHBY MD

Original Issue Date

10/15/1999

Effective Date

10/15/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006