MARK T METZDORFF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019955

License Status

EXPIRED

Business

First Name

MARK

Middle

Last Name

METZDORFF

Suffix

Business Name

MARK T METZDORFF MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2007