MARK D WESTFALL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020596

License Status

EXPIRED

Business

First Name

MARK D

Last Name

WESTFALL

Suffix

Business Name

MARK D WESTFALL DO

Original Issue Date

05/02/1987

Effective Date

05/02/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006