MARK D GREATTING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018324

License Status

EXPIRED

Business

Title

First Name

MARK

Middle

Last Name

GREATTING

Business Name

MARK D GREATTING MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006