MARK LEROY PLASTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103096

License Status

NOT RENEWED

Business

First Name

MARK

Middle

LEROY

Last Name

PLASTER

Suffix

Business Name

MARK LEROY PLASTER MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006