MARK T SPOOLSTRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017193

License Status

EXPIRED

Business

First Name

MARK T

Last Name

SPOOLSTRA

Suffix

Business Name

MARK T SPOOLSTRA MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

06/22/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006