MARK S MUSSELMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104715

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MUSSELMAN

Suffix

Business Name

MARK S MUSSELMAN MD

Original Issue Date

05/15/2001

Effective Date

06/04/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023