MARK BROOKE SLIDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131065

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

BROOKE

Last Name

SLIDELL

Business Name

MARK BROOKE SLIDELL MD

Original Issue Date

08/06/2012

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023