MARK S FEDDER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014207

License Status

EXPIRED

Business

First Name

MARK S

Last Name

FEDDER

Suffix

Business Name

MARK S FEDDER MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/23/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006