MARK J MARZANO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013647

License Status

EXPIRED

Business

First Name

MARK J

Last Name

MARZANO

Suffix

Business Name

MARK J MARZANO MD

Original Issue Date

01/29/1982

Effective Date

01/29/1982

Expiration Date

01/20/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006