MARA PHEISTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111482

License Status

NOT RENEWED

Business

First Name

MARA

Last Name

PHEISTER

Suffix

Business Name

MARA PHEISTER MD

Original Issue Date

05/27/2004

Effective Date

07/28/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011