MARC ANDREW WARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130686

License Status

NOT RENEWED

Business

Title

First Name

MARC

Middle

ANDREW

Last Name

WARD

Business Name

MARC ANDREW WARD MD

Original Issue Date

07/02/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017