MARK D COYNE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015700

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

Last Name

COYNE

Business Name

MARK D COYNE MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006